JP6567613B2 - Fusion proteins for treating metabolic disorders - Google Patents

Description

TECHNICAL FIELD The present invention relates to a novel fusion protein comprising fibroblast growth factor 21 (FGF21), which is known to improve the metabolic profile in subjects to whom it is administered.

BACKGROUND OF THE INVENTION The fibroblast growth factor (FGF) family is characterized by 22 genetically distinct homologous ligands that are grouped into seven subfamilies. FGF-21 is FG
Very close to F-19 and FGF-23 and forms a subfamily with them. This F
The GF subfamily regulates various physiological processes that are unusual for classical FGF, namely energy and bile acid homeostasis, glucose and lipid metabolism and phosphate, and vitamin D homeostasis. Furthermore, unlike other FGFs, the subfamily acts in an endocrine mode (Moore, DD (2007) Science 316, 1436-8) (Beenken
(2009) Nature Reviews Drug Discovery 8, 235).

FGF21 is a 209 amino acid polypeptide containing a 28 amino acid leader sequence (SEQ ID NO: 5). Human FGF21 has about 79% amino acid identity with mouse FGF21 and about 80% amino acid identity with rat FGF21. Fibroblast growth factor 2
1 (FGF21) has been described as a treatment for ischemic vascular disease, wound healing, and diseases associated with loss of lung, bronchial or alveolar cell function (Nishimura et al. (2000) Bioch).
imica et Biophysica Acta, 1492: 203-206; Patent Publication WO01 / 36640; and Patent Publication WO01 / 18172). FGF-21 activates FGF receptors and downstream signaling molecules such as FRS2a and ERK, but no direct interaction of FGFR and FGF-21 has been detected. The study identifies β-klotho highly expressed in liver, adipocytes and pancreas as a determinant of cellular response to FGF-21 and a cofactor that mediates FGF-21 signaling through FGFR (Kurosu, H et al.
(2007) J Biol Chem 282, 26687-95). FGF21 is FGFR1 (IIIc), FGF
It is a potent agonist of R2 (IIIc) and FGFR3 (IIIc) β-Klotho signaling complex.

FGF-21 has been shown to induce insulin-dependent glucose uptake. FGF
-21 has also been shown to improve hyperglycemia in various diabetic rodent models. In addition, transgenic mice overexpressing FGF-21 were found to be resistant to dietary metabolic disorders, demonstrating reduced body weight and fat mass, and enhanced insulin sensitivity (Badman, MK). (2007) Cell Metab 5, 426-37). Administration of FGF-21 to diabetic non-human primates causes a decrease in fasting plasma glucose, triglyceride, insulin and glucagon levels, resulting in a significant improvement in lipoprotein profile, eg, an approximately 80% increase in HDL cholesterol (Kharitonenkov, A. et al. (200
7) Endocrinology 148, 774-81). A recent study examining the molecular mechanism of FGF21 action identified FGF-21 as an important endocrine hormone that helps control adaptation to fasting conditions (Badman et al. (2009) Endocrinology 150, 4931). (Inagaki
(2007) Cell Metabolism 5, 415). This provides a previously unknown downstream association of PPARα, whereby the liver communicates with other parts of the body in the control of biological energy homeostasis (Galman et al. (2008) Cell Metabolism 8, 169 Lundasen et al. (2007
) Biochemical and Biophysical Research Communications 360, 437).

FGF21 regulates adipocyte homeostasis through activation of the AMPK / SIRT1 / PGC1α pathway, inhibits PPARγ expression, and increases mitochondrial function (Chau
(2010) PNAS 107, 12553). FGF21 also increases glucose uptake by skeletal muscle when measured in cultured human myotubes and isolated mouse tissue. FGF21 treatment of rodent islet cells results in improved function and survival through activation of ERK1 / 2 and Akt pathways (Wente et al. (2006) Diabets 55, 2470). FGF21
Treatment also results in altered gene expression for lipogenesis and fatty acid oxidase in rodent livers, presumably through HNF4α and Foxa2 signaling.

The problem of using FGF-21 directly as a biological drug is that its half-life is very short (Kharitonenkov, A et al. (2005) Journal of Clinical Investigation 115: 162
7-1635). In mice, the half-life of human FGF21 is 0.5 to 1 hour, and in cynomolgus monkeys, the half-life is 2 to 3 hours. FGF21 can be utilized as a multipurpose sterile pharmaceutical formulation. However, it has been determined that preservatives such as m-cresol have a detrimental effect on their stability under these conditions.

In developing FGF21 protein for use as a therapeutic agent in the treatment of type 1 and type 2 diabetes and other metabolic conditions, increases in half-life and stability are desirable. The FGF21 protein with enhanced half-life and stability allows for a lower dosing frequency for patients receiving the protein. Apparently, the therapeutic protein FGF2
There is a need to develop a stable aqueous protein formulation for 1.

Furthermore, an important challenge in the development of FGF21 as a protein drug is to address their physicochemical instabilities. Protein compositional changes and properties define specific properties such as folding, conformational stability and unfolding / denaturation. Such properties should be addressed when the goal is to stabilize proteins in the process of developing pharmaceutical formulation conditions that utilize aqueous protein solutions (Wang, W., Int. J. of
Pharmaceutics, 18, (1999)). The desired effect of stabilizing the therapeutic protein of interest, eg, the protein of the present invention, increases resistance to proteolysis and enzymatic degradation, thereby improving protein stability and reducing protein aggregation.

The present invention relates to the identification of a novel fusion protein comprising fibroblast growth factor 21 (FGF21), which has improved pharmaceutical properties over wild-type FGF21 and its variants under pharmaceutical formulation conditions. For example, it is more stable, has the ability to improve metabolic parameters for the administered subject, is less proteolytic and enzymatically degraded, and is less likely to aggregate and form complexes. The fusion proteins of the present invention include truncated, mutant and mutant forms of FGF21.

Also described are FGF21 related disorders, as well as other metabolic, endocrine glands and heart diseases such as obesity, type 1 and type 2 diabetes, pancreatitis, dyslipidemia, nonalcoholic fatty liver disease (NAFLD) Non-alcoholic steatohepatitis (NASH), insulin resistance, hyperinsulinemia, impaired glucose tolerance, hyperglycemia, metabolic syndrome, acute myocardial infarction, hypertension, cardiovascular disease, atherosclerosis, peripheral arterial disease, Methods for treating stroke, heart failure, coronary heart disease, kidney disease, diabetic complications, neuropathy, gastric failure paralysis, disorders associated with severe inactivating mutations in insulin receptors, and other metabolic disorders , And methods of reducing mortality and morbidity in critically ill patients.

The fusion protein of the invention can be injected once a week, alone, or 1
It can be used in combination with oral anti-diabetic agents that improve glycemic control, body weight and lipid profile in patients with type 2 and type 2 diabetes. The protein may also be obese or other F
It can be used for the treatment of GF21-related conditions.

The fusion protein of the present invention provides a protein that is more stable than wild-type FGF21 under pharmaceutical formulation conditions, is less proteolytic and enzymatically degraded, and is less likely to aggregate and form complexes. Overcoming the major obstacles of physical instability associated with administration of therapeutics such as wild type FGF21.

In a first aspect, the present invention provides a fibroblast growth factor 21 (FGF21) fusion protein comprising the sequences set forth in Table 1 and further one or more of the sequences set forth herein. The FGF21 sequence listed in Table 1 can be a wild type FGF21 sequence, eg, a variant of the wild type FGF21 sequence at NCBI reference number NP — 061986.1, and is assigned to a issued patent, eg, Chiron Corporation. Found in US 6,716,626B1.

The fusion may be, for example, a mutant FGF21 sequence, such as the sequence of Table 1, and other molecules (
It can be a non-FGF21 moiety), eg, an IgG constant domain or a fragment thereof (eg, an Fc region), human serum albumin (HSA), or an albumin-binding polypeptide. In preferred embodiments, the non-FGF21 portion of the molecule is an Fc region.

Other embodiments describe a polynucleotide encoding the fusion protein of the invention, a vector comprising the polynucleotide and a host cell having the vector.

Provided herein are methods used to make the fusion proteins of the invention, for example, site-specific incorporation of amino acids at positions of interest within the wild-type FGF21 protein, as well as others Modification of the wild-type FGF21 protein through fusion of the molecule to an FGF21 part of the molecule, eg, an IgG constant domain or fragment thereof (eg, Fc region), human serum albumin (HSA), or albumin-binding polypeptide. It is the method of including. The modifications and fusions enhance the biological properties of the fusion protein of the invention compared to the wild type of the protein, and in some cases attach the variant to the surface of a solid support For purposes, for example, it serves as a point of attachment to labels and protein half-life extenders. A related aspect of the present invention is a method for producing a cell capable of producing the protein of the present invention, and a method for producing a vector containing DNA encoding the mutant and the fusion.

In various embodiments, the fusion proteins of the invention described herein comprise FGF21 wild-type comprising 8-12 amino acid residues and small fragments that can reduce blood glucose in a mammal. One or more fragments of a type sequence can be included.
In various embodiments, the fusion proteins of the invention described herein can be of the FGF21 wild type sequence, eg, with one or more amino acid deletions, insertions, additions or substitutions compared to the wild type sequence. One or more variants can be included.

In some embodiments, the fusion proteins of the invention described herein are at the site of site-specific amino acid modifications made relative to wild-type FGF21 or generally wild of these proteins. It can be covalently linked to one or more polymers such as polyethylene glycol (PEG) or polysialic acid at the position of the amino acid shared with the mold. The PEG group is attached so as to enhance and / or not interfere with the biological function of a component of the fusion protein of the invention, eg, an FGF21 protein variant. In other embodiments, the polypeptides of the invention can be fused to a heterologous amino acid sequence, for example, via a linker, eg, GS, GGGGSGGGGSGGGGS (SEQ ID NO: 6). The heterologous amino acid sequence is an IgG constant domain or fragment thereof (eg,
Fc region), human serum albumin (HSA), or albumin binding polypeptide. Such fusion polypeptides described herein can also form multimers.

In some embodiments, the heterologous amino acid sequence (eg, HSA, Fc, etc.) is fused to the amino terminus of the fusion protein of the invention. In other embodiments, the fused heterologous amino acid sequence (eg, HSA, Fc, etc.) is fused to the carboxyl terminus of the fusion protein of the invention.

Yet another aspect is one or more FGF21 related disorders such as obesity, type 2 diabetes, type 1 diabetes, pancreatitis, dyslipidemia, nonalcoholic fatty liver disease (NAFLD), nonalcoholic steatohepatitis (NASH) ), Insulin resistance, hyperinsulinemia, impaired glucose tolerance, hyperglycemia, metabolic syndrome, acute myocardial infarction, hypertension, cardiovascular disease, atherosclerosis, peripheral arterial disease, stroke, heart failure, coronary heart disease, A method of treating a patient exhibiting renal disease, diabetic complications, neuropathy, gastric failure paralysis, disorders associated with inactivating mutations in insulin receptors, and other metabolic disorders, one of the therapeutically effective doses Administering the above protein of the present invention or a pharmaceutical composition thereof to the patient in need of treatment,
Describes the method.

The present invention also provides a pharmaceutical composition comprising the fusion protein of the present invention described herein and a pharmaceutically acceptable formulation. Such pharmaceutical compositions can be used in methods for treating metabolic disorders and in methods that include administering to a human patient in need of the pharmaceutical composition of the invention. Non-limiting examples of metabolic disorders that can be treated include type 1 and type 2 diabetes and obesity.

These and other aspects of the invention will be elucidated in the following detailed description of the invention.

1A-1D show that V188 has improved efficacy over V76 in the ob / ob diabetic mouse model. V188 shows superior results when administered at 1 milligram per kilogram (mpk) compared to when V76 is administered at 5 milligrams per kilogram. FIG. 1A shows dietary plasma glucose as a readout (circle indicates vehicle (PBS-phosphate buffered saline), square indicates V76 at 5 mpk, triangle indicates V188 at 1 mpk). FIG. 1B shows dietary plasma insulin as a readout (from left to right: vehicle, V76 at 5 mpk, and V188 at 1 mpk). FIG. 1C shows body weight as a readout (from left to right: vehicle, V76 at 5 mpk, and V188 at 1 mpk). FIG. 1D shows liver lipid levels as readout (from left to right: vehicle, V76 at 5 mpk, and V188 at 1 mpk).

2A-2D show that V101 has improved efficacy over V76 in the ob / ob diabetic mouse model. V101 shows superior results when administered at 1 milligram per kilogram (mpk) compared to when V76 is administered at 5 milligrams per kilogram. FIG. 2A shows dietary plasma glucose as readout (circle indicates vehicle (PBS-phosphate buffered saline), square indicates V76 at 5 mpk, triangle indicates V101 at 1 mpk). FIG. 2B shows dietary plasma insulin as readout (from left to right: vehicle, V76 at 5 mpk, and V101 at 1 mpk). FIG. 2C shows weight as a readout (from left to right: vehicle, V76 at 5 mpk, and V101 at 1 mpk). FIG. 2D shows liver lipid content as readout (from left to right: vehicle, V76 at 5 mpk, and V101 at 1 mpk).

3A-3D show that V103 has improved efficacy over V76 in the ob / ob diabetic mouse model. V103 shows superior results when administered at 1 milligram per kilogram (mpk) compared to when V76 is administered at 5 milligrams per kilogram. FIG. 3A shows dietary plasma glucose as readout (circle indicates vehicle (PBS-phosphate buffered saline), square indicates V76 at 5 mpk, triangle indicates V103 at 1 mpk). FIG. 3B shows dietary plasma insulin as readout (from left to right: vehicle, V76 at 5 mpk, and V103 at 1 mpk). FIG. 3C shows weight as a readout (from left to right: vehicle, V76 at 5 mpk, and V103 at 1 mpk). FIG. 3D shows liver lipid content as readout (from left to right: vehicle, V76 at 5 mpk, and V103 at 1 mpk).

Figures 4A-4D demonstrate the superior pharmacokinetic and thermodynamic properties possessed by the fusion proteins of the invention over FGF21 fusion proteins of the art. FIG. 4A shows the fusion protein of the invention in PCT Publication WO 10/129600 described as Fc-L (15) -FGF21 (L98R, P171G) and Fc-L (15) -FGF21 (L98R, P171G, A180E). The plasma concentration after IV injection of the fusion in mice is shown. FIG. 4B shows single times in mice when assayed by anti-Fc-ELISA compared to pharmacokinetic data generated in mice against V76 in a previous study using anti-FGF21 antibody ELISA. Figure 2 shows the pharmacokinetic properties of the fusion proteins of the present invention (V101, V103 and V188) after IV administration. FIG. 4C shows a spot check of the fusion protein of the present invention on anti-FGF21 Western blot, consistent with anti-Fc-ELISA data at 120 hours and 15 days. Samples in the blot are as follows: A indicates V101, B indicates V103, and C indicates V188. Controls are V101 and serum. FIG. 4D demonstrates significantly increased thermodynamic stability of the fusion protein of the invention compared to V76. From top to bottom, the figure shows V101, V103 and V188, all of which are V76 (T _m <50 ° C. (not shown)) and wild type FGF21 (T _m = 46.5 ° C. ± 0.00%). 3 (not shown)) with an improved melting temperature (T _m ).

DETAILED DESCRIPTION OF THE INVENTION The fusion protein of the invention represents a modified version of the full length wild type FGF21 polypeptide known in the art. For example, when a comparison between an FGF21 wild type sequence and a protein variant is required, the FGF21 wild type sequence becomes the reference sequence (SEQ ID NO: 1). FG
The F21 wild type sequence has the NCBI reference SEQ ID NO: NP — 061986.1, eg, CBI
It can be found in issued patents such as US 6,716,626 B1 by Hiron Corporation (SEQ ID NO: 1).

The corresponding mRNA sequence encoding the full-length FGF21 polypeptide (NCBI reference SEQ ID NO: NM_019113.2) is shown below (SEQ ID NO: 2):

The mature FGF21 sequence lacks the leader sequence, and other modifications of the polypeptide understood by those skilled in the art, such as the amino terminus (with or without the leader sequence) and / or the carboxyl terminus. Proteolytic processing, cleavage of smaller polypeptides from larger precursors, N-linked and / or O-linked glycosylation and other post-translational modifications. Typical examples of mature FGF21 sequences are the following sequences (
Having the amino acid positions 29-209 of the full-length FGF21 protein sequence (NCBI reference SEQ ID NO: NP_0619866.1):

The corresponding cDNA sequence encoding the mature FGF21 polypeptide (SEQ ID NO: 3) is:
Shown below (SEQ ID NO: 4):

The fusion proteins of the invention can include protein variants or mutants of the wild type proteins described herein, eg, FGF21 variants. As used herein, the terms “protein variant”, “human variant”, “polypeptide or protein variant”, “variant”, “mutant”, as well as terms like them or their Certain types (eg, “FGF21 protein variants”, “variants”, “FGF21 mutants”, etc.) are native (ie, wild-type) protein or polypeptide counterparts or corresponding native sequence modifications, Define protein or polypeptide sequences including truncations, other variants. For example, “variant FGF21” or “FGF21 mutant” has been described in comparison to the wild-type (ie, native) FGF21 protein described herein.

Exemplary fusion protein sequences of the invention are listed in Table 1. The description of the fusion is:
Where a linker is applied, FGF21 variants are included. Changes or substitutions used by FGF21 variants are numbered and described relative to wild type FGF21. As an example,
“Mutant 101 (V101)” (SEQ ID NO: 10) is a substitution made with two amino acid linkers and wild type FGF21: Q55C, A109T, G148C, K
Fc with 150R, P158S, P174L, S195A, P199G, G202A
-FGF21 fusion.

* —Note that the FGF21 wild type sequence in the table above represents NCBI reference SEQ ID NO: NP — 061986.1 (SEQ ID NO: 1) unless otherwise specified.
All mutations in the FGF21 portion and the corresponding amino acid numbering of the mutations are not the full length sequences in the table above, which may also include Fc and linker regions (SEQ ID NO: 1
Refer back to).

A variant or mutant used in the fusion protein of the invention, eg, a variant of wild type FGF21, is characterized by at least one substitution, addition and / or removal of amino acids as compared to the wild type protein. To do. Furthermore, the variant may contain N- and / or C-terminal truncations compared to the wild type protein. Generally speaking, a variant has some modified properties, structure or function of a wild-type protein. For example, a variant is
Enhanced or improved physical stability in the concentrate (eg, low hydrophobicity mediated aggregation), enhanced or improved plasma stability when incubated with plasma, or enhanced or improved while maintaining a favorable bioactivity profile May have biological activity.

Permissible amino acid substitutions and modifications that constitute differences between portions of the fusion proteins of the invention and their wild-type comparison proteins include one or more amino acid substitutions, eg, substitution with a non-natural amino acid analog, and cleavage. However, it is not limited to these. Accordingly, a fusion protein of the invention (eg, a fusion protein of the invention) can be a site-specific mutant, cleavage polypeptide, proteolytic-resistant mutant, aggregation-reducing mutant described herein. Including, but not limited to, combination mutants and fusion proteins.

Those skilled in the field of protein expression are aware that a methionine or methionine-arginine sequence can be introduced at either N-terminus of the fusion protein of the invention for expression in E. coli. Considered within the context of the invention.

The fusion proteins of the present invention may have increased compatibility with pharmaceutical preservatives (eg, m-cresol, phenol, benzyl alcohol) and thus maintain the physiochemical properties and biological activity of the protein during storage Allows the preparation of stored pharmaceutical formulations. Thus, variants with enhanced pharmaceutical stability compared to wild type 1 have improved physical stability in concentrates under physiological and preserved pharmaceutical formulation conditions, and biological The effect is maintained. For non-limiting examples, the fusion proteins of the present invention may be more resistant to proteolysis and enzymatic degradation than their wild-type counterparts or corresponding native sequences; improved stability May have a low probability of aggregation. As used herein, these terms are not mutually exclusive or limiting, and generally allow the listed variants to have one or more modified properties of the wild-type protein. .

The present invention also provides desirable properties, eg, for FGF21 protein variants, such as
The amino acid sequence of SEQ ID NO: 3 and at least the specific residues that give improved potency, proteolytic-tolerance, increased half-life or aggregation-decreasing properties and combinations thereof to the FGF21-receptor are not further modified A nucleic acid molecule encoding a fusion protein of the invention comprising the FGF21 amino acid sequence that is about 95% identical is included. In other words, about every other amino acid residue in the FGF21 mutant sequence, except for residues in the FGF21 mutant sequence that have been modified to provide proteolytic-tolerance, aggregation-reduction or other properties. 5% (alternatively 4%, alternatively 3%, alternatively 2%, alternatively 1%) can be modified. Such FGF21 mutants have at least one activity of the wild type FGF21 polypeptide.

The invention also provides the nucleotide sequence of SEQ ID NO: 2 or SEQ ID NO: 4, wherein the nucleotide encoding the amino acid residue that confers proteolytic-resistance, aggregation-reduction or other properties of the encoded protein is not further modified And nucleic acid molecules comprising nucleotide sequences that are at least about 85% identical, more preferably at least about 90-95% identical.
In other words, all of the other nucleotides in the mutant sequence, except those that encode residues in the FGF21 mutant sequence that have been modified to provide proteolytic-resistance, aggregation-reduction, or other properties. About 15% can be modified, more preferably about 10 to 5%. Such nucleic acid molecules encode proteins having at least one activity of their wild type counterparts.

Provided herein is a method used to make a fusion protein of the invention, wherein the protein wild-type (eg, FGF21 described herein)
Wild-type protein) site-specific and non-site-specific modifications such as cleavage of the wild-type protein and site-specific incorporation of amino acids at positions of interest within the wild-type protein. The modification enhances the biological properties of the fusion protein of the invention compared to the wild-type protein, and in some cases, for the purpose of attaching the variant to the surface of a solid support, For example, it serves as an attachment point for labels and protein half-life extenders. A related aspect of the present invention is a method for producing a cell capable of producing the fusion protein of the present invention, and a method for producing a vector containing DNA encoding the mutant.

In one embodiment, such modifications, e.g. site-specific modifications, for the purpose of e.g. extending the half-life or otherwise improving the biological properties of the protein, polypeptide and / or peptide. Used to conjugate conjugates, eg PEG groups, to the proteins, polypeptides and / or peptides of the invention. The technique is further described herein.

In other embodiments, such modifications, such as site-specific modifications, are used to attach to other polymers, small molecules and recombinant protein sequences that extend the half-life of the proteins of the invention. One such embodiment involves the binding of fatty acids or certain albumin binding compounds to proteins, polypeptides and / or peptides. In other embodiments, the modifications can be made with specific amino acid types and attached to one or more sites on the protein.

In other embodiments, such modifications, eg, site-specific modifications, are wild-type and / or mutant multimers, such as dimers (homodimers or heterodimers) or trimers or tetramers. Used as a coupling means for the production of mer. These multimeric protein molecules are further linked to other proteins, such as Fc, at either the amino terminus or the carboxy terminus.
It may have groups attached or fused to human serum albumin (HSA), etc., for example PEG, sugars, and / or PEG-cholesterol conjugates.

In other embodiments, such site-specific modifications are proteins, polypeptides and / or
Or pyrrolidine, or pyrrolidine analogs or unnatural amino acids (para-acetyl-Phe, para-azide-P, used to produce peptides and incorporated site-specifically
the position of he) allows the binding of such proteins, polypeptides and / or peptides on the surface of the control orientation and solid support or is attached to a group, eg P
It makes it possible to have EG, sugar and / or PEG-cholesterol conjugates.

In other embodiments, such site-specific modifications are proteins, polypeptides and / or
Or used to site-specifically cross-link peptides, thereby forming hetero-oligomers, including but not limited to heterodimers and heterotrimers. In other embodiments, such site-specific modifications are used to site-specifically crosslink proteins, polypeptides and / or peptides, thereby providing protein-protein complexes, protein-polypeptide complexes, Protein-peptide complex, polypeptide
A polypeptide complex, polypeptide-peptide complex or peptide-peptide complex is formed. In other embodiments, site-specific modifications can include a branch point that allows two or more types of molecules to be combined at a single site of a protein, polypeptide or peptide.

In other embodiments, the modifications described herein can be made in a non-site specific manner, and the protein-protein complex, protein-polypeptide complex, protein-peptide complex, poly This results in a peptide-polypeptide complex, a polypeptide-peptide complex or a peptide-peptide complex.

Definitions Various definitions are used throughout this specification. A number of terms have the meaning that a person skilled in the art will attribute to those terms. Terms specifically defined below or elsewhere herein have the meanings provided in the context of the present invention as a whole and are generally understood by those of ordinary skill in the art. is there.

The term “FGF21” as used herein refers to fibroblast growth factor (FGF).
) Indicates protein family members. FGF21 (GenBank accession number NP_0
The amino acid sequence of 61986. 1) is set forth as SEQ ID NO: 1, and the corresponding polynucleotide sequence is SEQ ID NO: 2 (NCBI reference SEQ ID NO: NM — 091113.
2). “FGF21 variant”, “FGF21 mutant” and like terms are, for example, modified FGF21 proteins with deleted, added, modified, or substituted constituent amino acid residues. Indicates the type.

As used herein, the term “FGF21 receptor” refers to the receptor for FGF21 (Kharitonenkov, A et al. (2008) Journal of Cellular Physiology 215: 1-7; Kur
osu, H et al. (2007) JBC 282: 26687-26695; Ogawa, Y et al. (2007) PNAS 104: 7432-7437).

The term “FGF21 polypeptide” refers to a native polypeptide expressed in humans. For the purposes of this description, the term “FGF21 polypeptide” refers to any full-length FGF21 polypeptide, eg, SEQ ID NO: 1 consisting of 209 amino acid residues and encoded by the nucleotide sequence of SEQ ID NO: 2; Can be used interchangeably to indicate the mature form of any polypeptide consisting of 181 amino acid residues from which 28 amino acid residues have been removed at the amino terminus of the polypeptide (ie, this constitutes a signal peptide). it can.

As used herein, “variant 76” is bound via Cys154.
FGF21 protein variant characterized by kDa branched PEG and 8 point mutations compared to the 177 amino acid wild type protein. The synthesis of the variants is described in more detail herein and the protein sequence is shown in Table 1 and SEQ ID NO: 9.

The term “isolated nucleic acid molecule” refers to (1) when total nucleic acid is isolated from a source cell,
Separated from at least about 50 percent of proteins, lipids, carbohydrates or other substances found in nature, (2) “isolated nucleic acid molecule” linked to all or part of the naturally linked polynucleotide (3) A nucleic acid molecule of the invention that is not operably linked to a polynucleotide that is not naturally linked, or (4) does not occur naturally as part of a larger polynucleotide sequence. Preferably, the isolated nucleic acid molecule of the present invention will prevent any other contaminating nucleic acid molecule or other contamination found in the natural environment that would interfere with its use in polypeptide production or use in therapy, diagnosis, prevention or research. Is substantially not included.

The term “vector” is used to indicate any molecule (eg, nucleic acid, plasmid, or virus) used to transmit coding information to a host cell.

The term “expression vector” refers to a vector that is suitable for transformation of a host cell and contains a nucleic acid sequence that directs and / or controls expression of an inserted heterologous nucleic acid sequence. Expression includes, but is not limited to, processing, such as transcription, translation and RNA splicing (when introns are present).

The term “operably linked” is used herein to indicate the arrangement of flanking sequences, where the flanking sequences are configured or assembled to perform normal functions. The elements of the fusion protein can interact with each other such that the fusion protein can function as when it is a natural, endogenous protein and / or can bind to heterologous elements of the fusion protein in a synergistic manner. It can be operably linked.

At the nucleotide level, a flanking sequence operably linked to a coding sequence is
It may be possible to effect replication, transcription and / or translation of the coding sequence. For example, a coding sequence is operably linked to a promoter when the promoter can direct transcription of the coding sequence. As long as it functions correctly, the flanking sequence need not be contiguous with the coding sequence. Thus, for example, an intervening untranslated transcription sequence can exist between a promoter sequence and a coding sequence, and the promoter sequence can be
Can be thought of as “operably linked”.

The term “host cell” is used to indicate a cell that has been transformed with a nucleic acid sequence or is capable of expressing a selected gene of interest. The term includes the progeny of the parent cell as long as the gene being selected is present, whether or not the progeny is identical in form or gene that constitutes the original parent.

The term “amino acid” as used herein functions in a manner similar to natural amino acids in all of the D and L stereoisomers, when their structure allows such stereoisomeric forms. Natural amino acids, unnatural amino acids, amino acid analogs and amino acid mimetics are shown. Amino acids are referred to herein as IUPAC-IUB Biochemical Nomenc.
Shown by their name, either their commonly known three-letter symbol or one-letter symbol, as recommended by the lature Commission.

The term “natural” when used in reference to biological materials, such as nucleic acid molecules, polypeptides, host cells, etc., refers to materials found in nature and not manipulated by humans. Similarly, “non-natural” as used herein refers to a substance not found in nature or structurally modified or synthesized by humans. The term “natural” when used in reference to nucleotides refers to the bases adenine (A), cytosine (C), guanine (G), thymine (T) and uracil (U). When used in reference to amino acids, the term “natural” refers to the twenty conventional amino acids (ie, alanine (A), cysteine (C), aspartic acid (D), glutamic acid (E), phenylalanine (F). , Glycine (G), histidine (H), isoleucine (I), lysine (K), leucine (L)
, Methionine (M), asparagine (N), proline (P), glutamine (Q), arginine (R), serine (S), threonine (T), valine (V), tryptophan (W) and tyrosine (Y) ), And selenocysteine, pyrrolidine (Pyl, or O),
And pyrroline-carboxy-lysine (Pcl, or Z).

Pyrrolidine (Pyl) is an amino acid found naturally in the methylamine methyltransferase of the Methanosarcina family of methanogenic archaea. Pyrrolidine is a lysine analog that is co-translationally incorporated at each mRNA with an in-frame UAG codon and is considered the 22nd natural amino acid.

As described at least in PCT Patent Publication WO2010 / 48582 (Applicant IRM, LLC), attempts to biosynthesize pyrrolidine (Pyl) in E. coli are as follows:
This resulted in the formation of “demethylated pyrrolidine”, referred to herein as pyrroline-carboxy-lysine or Pcl. As used herein, “Pcl” refers to Pcl
-Indicates either A or Pcl-B.

As used herein, “non-natural amino acid” and “unnatu”
The term `` ral) amino acid '' is interchangeably produced biosynthetically in any organism using an unmodified or modified gene from any organism that is the same or different. It is intended to indicate an amino acid structure that cannot be done. The term refers to an amino acid residue that is not present in the native (wild type) FGF21 protein sequence or the sequence of the invention. These are modified amino acids and / or amino acid analogs that are not one of the 20 natural amino acids, selenocysteine, pyrrolidine (Pyl) or pyrroline-carboxy-lysine (
Including, but not limited to, Pcl, such as described in PCT Patent Publication WO2010 / 48582). Such non-natural amino acid residues can be introduced by substitution of natural amino acids and / or insertion of non-natural amino acids into natural (wild-type) FGF21 protein sequences or sequences of the invention. Unnatural amino acid residues may also have the desired functionality F
The ability to be linked to a GF21 molecule, eg, linked to a functional moiety (eg, PEG). When used in connection with an amino acid, the symbol “U”, as used herein, shall mean “non-natural amino acid” and “unnatural amino acid”. .

In addition, it is understood that such “unnatural amino acids” require modified tRNA and modified tRNA synthetase (RS) for incorporation into proteins. These “selected” orthogonal tRNA / RS pairs are made by a selection process developed by Schultz et al. Or by random or targeted mutations. As an example, pyrroline-carboxy-lysine is produced biosynthetically by a gene that is transferred from an organism into a host cell and because it is incorporated into a protein by using native tRNA and tRNA synthetase genes. Natural amino acid ", but p-aminophenylalanine (Generation of a bacterium with a 21 amino acid gen
etic code, Mehl RA, Anderson JC, Santoro SW, Wang L, Martin AB, King DS, Horn DM
, Schultz PG. J Am Chem Soc. 2003 Jan 29; 125 (4): 935-9) is produced biosynthetically, but is incorporated into the protein by a “selected” orthogonal tRNA / tRNA synthetase pair Therefore, it is an “unnatural amino acid”.

The modified encoded amino acids are hydroxyproline, γ-carboxyglutamic acid, O
-Phosphoserine, azetidinecarboxylic acid, 2-aminoadipic acid, 3-aminoadipic acid, beta-alanine, aminopropionic acid, 2-aminobutyric acid, 4-aminobutyric acid, 6-aminocaproic acid, 2-aminoheptanoic acid, 2 -Aminoisobutyric acid, 3-aminoisobutyric acid, 2-
Aminopimelic acid, tertiary-butylglycine, 2,4-diaminoisobutyric acid, desmosine,
2,2′-diaminopimelic acid, 2,3-diaminopropionic acid, N-ethylglycine,
N-methylglycine, N-ethylasparagine, homoproline, hydroxylysine, allo-hydroxylysine, 3-hydroxyproline, 4-hydroxyproline, isodesmosine, allo-isoleucine, N-methylalanine, N-methylglycine, N-methylisoleucine N-methylpentylglycine, N-methylvaline, naphthalani
ne), norvaline, norleucine, ornithine, pentylglycine, pipecolic acid and thioproline, but are not limited thereto. The term “amino acid” also includes natural amino acids that are metabolites in a particular organism but are not encoded by the genetic code for incorporation into proteins. Such amino acids include, but are not limited to ornithine, D-ornithine and D-arginine.

As used herein, the term “amino acid analog” refers to the same basic chemical structure as a naturally occurring amino acid, by way of example only α, bonded to a hydrogen, carboxyl group, amino group and R group.
-Refers to compounds having carbon. Amino acid analogues are reversibly or irreversibly chemically blocked natural and unnatural amino acids, or their C-terminal carboxy groups that are chemically modified, their N-terminal amino groups and And / or contain their side chain functional groups. Such analogs include methionine sulfoxide, methionine sulfone, S- (carboxymethyl) -cysteine, S- (carboxymethyl) -cysteine sulfoxide, S
Including, but not limited to,-(carboxymethyl) -cysteine sulfone, aspartic acid- (beta-methyl ester), N-ethylglycine, alanine carboxamide, homoserine, norleucine and methionine methylsulfonium.

The term “amino acid mimetic” as used herein refers to a compound that has a structure that is different from the general chemical structure of an amino acid, but that functions in a manner similar to a natural amino acid.

The term “biologically active variant” refers to the activity of its wild-type (eg, natural) protein or polypeptide counterpart, regardless of the type or number of modifications introduced into the polypeptide variant, eg, Regulates blood sugar, HbA1c, insulin, triglyceride or cholesterol levels; increases pancreatic function; decreases lipid levels in the liver;
In the fusion protein of the invention having the ability to lose weight; and improve glucose tolerance, energy expenditure or insulin sensitivity, any polypeptide variant used, for example as a constituent protein of the fusion, is indicated. Polypeptide variants with a slightly reduced level of activity compared to their wild-type version are still
It can be considered a biologically active polypeptide variant. A non-limiting typical example of a biologically active polypeptide variant of the invention is FGF21 that is later modified and has similar or enhanced biological properties compared to wild-type FGF21. It is a mutant.

The terms “effective amount” and “therapeutically effective amount” each reduce one or more biological activities, eg, blood glucose, insulin, triglyceride or cholesterol levels, of a wild-type polypeptide or protein counterpart; The amount of fusion protein of the invention used to support observable levels of reducing lipid levels; reducing body weight; or improving glucose tolerance, energy expenditure or insulin sensitivity. For example, a “therapeutically effective amount” administered to a patient exhibiting or suffering from an FGF21-related disorder (eg, type 1 or type 2 diabetes, obesity or metabolic syndrome) Induce, ameliorate, otherwise cause, or induce resistance to death in the disorder, pathological symptoms associated with the disorder, disease progression, improvement in physiological condition, or otherwise Is the amount to cause. For the purposes of the present invention, a “subject” or “patient” is preferably a human but is an animal, more specifically a pet (eg, a dog, a cat, etc.), a livestock (eg, a cow, sheep, Pigs, horses, etc.) and laboratory animals (eg, rats, mice, guinea pigs, etc.).

The term “pharmaceutically acceptable carrier” or “physiologically acceptable carrier” as used herein refers to one suitable to achieve or enhance delivery of the fusion protein of the invention. The above formulation substances are shown.

The term “antigen” refers to a molecule or portion of a molecule that can be used in an animal to produce an antibody that can be bound by an antibody and that can further bind to an epitope of an antigen. An antigen can have one or more epitopes.

The term “native Fc” includes sequences of non-antigen binding fragments, obtained from digestion of whole antibodies, or produced by other means, in either monomeric or multimeric form, and includes the hinge region. A possible molecule or sequence is indicated. The original immunoglobulin source of native Fc is preferably of human origin and can be any immunoglobulin, but IgG1 and I
gG2 is preferred. Natural Fc molecules are composed of monomeric polypeptides that can be linked in dimeric or multimeric forms by covalent (ie, disulfide bonds) and non-covalent bonds. The number of intermolecular disulfide bonds between the monomeric subunits of a native Fc molecule is determined by class (
For example, IgG, IgA and IgE) or subclass (eg, IgG1, IgG2
, IgG3, IgA1 and IgGA2). One example of a native Fc is a disulfide bond dimer obtained from papain digestion of IgG (Elliso
n et al. 1982, Nucleic Acids Res. 10: 4071-9). As used herein, the term “native Fc” is a generic term for monomeric, dimeric and multimeric forms.

The term “Fc variant” refers to a molecule or sequence that is modified from a native Fc but still contains a binding site for the salvage receptor, FcRn (the neonatal Fc receptor).
International publications WO 97/34631 and WO 96/32478 describe typical Fc variants, as well as interactions with salvage receptors, and are incorporated by reference. Thus, the term “Fc variant” can include a molecule or sequence that is humanized from a non-human native Fc. Furthermore, native Fc comprises regions that can be removed to provide structural features or biological activity that are not required for the fusion molecules of the fusion proteins of the invention. Thus, the term “Fc variant” refers to (1) disulfide bond formation, (2
) Incompatibility with the selected host cell, (3) N-terminal heterogeneity upon expression in the selected host cell, (4) glycosylation, (5) interaction with complement, (6) salvage Affects binding to non-receptor Fc receptors, or (7) antibody-dependent cellular cytotoxicity (ADCC),
Or lack one or more natural Fc sites or residues involved with these, or
Includes molecules or sequences in which one or more Fc sites or residues are modified. Fc variants are described in further detail below.

The term “Fc domain” includes native Fc and Fc variants and sequences as defined above. As with Fc variants and native Fc molecules, the term “Fc domain” includes molecules in monomeric or multimeric form that are digested from whole antibodies or produced by other means. In some aspects of the invention, the Fc domain is FGF21 or FGF21 mutant (FF), eg, via a covalent bond between the Fc domain and the FGF21 sequence.
Fusion forms, including truncated forms of GF21 or FGF21 mutants). Such fusion proteins can form multimers through the binding of Fc domains, and both these fusion proteins and these multimers are aspects of the invention.

The term “modified Fc fragment” as used herein refers to an Fc fragment of an antibody comprising a modified sequence. Fc fragments are part of an antibody that includes portions of CH2, CH3 and the hinge region. The modified Fc fragment can be derived from, for example, IgG1, IgG2, IgG3, or IgG4. FcLALA induces ADCC with reduced efficiency, weakly binds to human complement, and activates LALA mutation (L234A
, L235A), a modified Fc fragment. Hessell et al 2007 Nature 44
9: 101-104. Further modifications to the Fc fragment are described, for example, in US Pat. No. 7,217.
798.

The term “heterologous” means that these domains are not found in nature to bind to the constant region of an antibody. In particular, such heterologous binding domains comprise four framework regions, FR1, FR2, FR3 and FR4 and three complementarity determining regions (C
DR) does not have the typical structure of an antibody variable domain. Thus, each arm of the fusobody has a first single-chain polypeptide comprising a first binding domain covalently linked to the N-terminal portion of the antibody constant C _H 1 heavy chain region, and the antibody constant. It comprises a second single chain polypeptide comprising a second binding domain that is covalently linked to the N- terminal part of the C _L light chain. A covalent bond can be direct, for example, via a peptide bond, or indirectly, via a linker, such as a peptide linker. The two heterodimers of the fusobody are covalently linked, for example by at least one disulfide bridge at their hinge region, as in the antibody structure. Examples of molecules having a fusobody structure are disclosed in the art, and in particular are fusobodies comprising a ligand binding region of a heterodimeric receptor (see, eg, International Patent Publication W
O01 / 46261 and WO11 / 076781).

The term “polyethylene glycol” or “PEG” refers to a polyalkylene glycol compound or derivative thereof with or without a coupling agent or derivatization to the coupling or activating moiety.

The term “FGF21-related disorder” and the term used similarly herein, obesity, type 1 and type 2 diabetes, pancreatitis, dyslipidemia, nonalcoholic fatty liver disease (NAFLD)
Non-alcoholic steatohepatitis (NASH), insulin resistance, hyperinsulinemia, impaired glucose tolerance, hyperglycemia, metabolic syndrome, acute myocardial infarction, hypertension, cardiovascular disease, atherosclerosis, peripheral arterial disease, Includes stroke, heart failure, coronary heart disease, kidney disease, diabetic complications, neuropathy, gastric failure paralysis, disorders associated with severe inactivating mutations in insulin receptors, and other metabolic disorders.

The term “disorder associated with severe inactivating mutations in the insulin receptor” and the term used similarly herein cause severe insulin resistance but without obesity that is common in type 2 diabetes , Indicates a condition in a subject that has a mutation at the insulin receptor (or a protein that may be directly downstream from it), often (but not always). In many respects, subjects suffering from these conditions develop mixed symptoms of type 1 diabetes and type 2 diabetes. Subjects affected by it include type A insulin resistance, type C insulin resistance (AKA HAIR-AN syndrome), Rabson
-Mendenhall syndrome, and finally Donohue's syndrome or Lepr
It falls into several categories of roughly increasing severity, including echanism. These disorders are associated with very high endogenous insulin levels and very often hyperglycemia. Subjects affected by it also have hyperandrogenism, polycystic ovary syndrome (
PCOS), hirsutism, and melanosis (hyperproliferation and pigmentation) in skin folds
Various clinical features associated with “insulin toxicity” including:

“Type 2 diabetes” is a condition characterized by excessive glucose production regardless of insulin availability, and circulating glucose levels are maintained too high as a result of insufficient glucose clearance.

“Type 1 diabetes” is a condition characterized by high blood glucose levels caused by a complete lack of insulin. This occurs when the body's immune system attacks and destroys beta cells that produce insulin in the pancreas. As a result, the pancreas produces little or no insulin.

“Impaired glucose tolerance” or impaired glucose tolerance (IGT) is a pre-diabetic state of dysglycemia that is associated with an increased risk of cardiovascular pathology. The pre-diabetic state prevents the subject from efficiently transferring glucose to the cells and using it as an efficient fuel source, resulting in elevated glucose levels in the blood and some insulin resistance.

  “Hyperglycemia” is defined as an excess of sugar (glucose) in the blood.

“Hypoglycemia”, also referred to as low blood sugar, occurs when blood sugar levels drop too low to provide enough energy for body activity.

“Hyperinsulinemia” is defined as insulin in the blood above normal levels.

“Insulin resistance” is defined as a condition in which a normal amount of insulin produces a subnormal biological response.

“Obesity” can be defined for a human subject as having a weight of 20 percent above the standard weight for a given population (RH Williams, Textbook of Endocrinology, 1
974, p. 904-916).

“Diabetic complications” are problems with other physical functions caused by high blood sugar levels,
For example, kidneys, nerves (neuropathies), feet (foot ulcers and poor circulation) and eyes (eg retinopathy). Diabetes also increases the risk for heart disease and bone and joint disorders. Other long-term complications of diabetes include skin problems, digestive problems, sexual dysfunction and tooth and gum problems.

“Metabolic syndrome” can be defined as a cluster of at least three signs: abdominal fat—in most men, a waist of 40 inches or more; high blood sugar after fasting—at least 110 mg / deciliter ( mg / dl);
High triglycerides in the bloodstream—at least 150 mg / dL; low HDL—40 mg
</ Dl; and a blood pressure of 130/85 mmHg or higher.

  “Pancreatitis” is inflammation of the pancreas.

“Dyslipidemia” is a disorder of lipoprotein metabolism, including lipoprotein overproduction or deficiency. Dyslipidemia is caused by blood total cholesterol, low density lipoprotein (LDL).
) Increased cholesterol and triglyceride levels and high density lipoprotein (H
DL) can be manifested by a decrease in cholesterol concentration.

"Non-alcoholic fatty liver disease (NAFLD)" is a liver disease characterized by hepatocyte fat changes not associated with alcohol consumption.

“Non-alcoholic steatohepatitis (NASH)” is a liver disease that is not associated with alcohol consumption and is characterized by fatty changes in hepatocytes with intralobular inflammation and fibrosis.

“High blood pressure” or “high blood pressure”, ie a temporary or sustained increase in systemic arterial blood pressure to a level that can induce cardiovascular injury or other adverse effects. High blood pressure is 140mm
It is arbitrarily defined as systolic blood pressure above Hg or diastolic blood pressure above 90 mmHg.

  A “cardiovascular disease” is a disease associated with the heart or blood vessels.

“Acute myocardial infarction” occurs when there is a blockage of blood supply to the heart. If left untreated for a sufficient period of time, it can cause ischemia and oxygen deprivation, which can cause myocardial tissue (myocardial) damage or death (infarction).

“Peripheral artery disease” occurs when plaque builds up in the arteries that carry blood to the head, organs and limbs. Over time, plaque can harden and narrow arteries and restrict oxygen-rich blood flow to organs and other parts of the body

“Atherosclerosis” is a vascular disease characterized by irregularly dispersed lipid deposits in the intima of the large and middle arteries, causing narrowing of the arterial lumen and eventually fibrosis and calcification Begins. Lesions are usually focal and progress slowly and intermittently. Blood flow limitation causes many clinical symptoms that vary with the distribution and severity of the lesion.

“Stroke” is any acute clinical event associated with damage to the cerebral circulation that lasts more than 24 hours.
Stroke is associated with irreversible brain damage, symptom type and severity, depending on the location and extent of brain tissue at which the circulation is at risk.

“Heart failure”, also called congestive heart failure, is a condition in which the heart can no longer supply enough blood to other parts of the body.

“Coronary heart disease”, also called coronary artery disease, is a narrowing of a small amount of blood vessels that supply blood and oxygen to the heart.

“Kidney disease” or nephropathy is any disease of the kidney. Diabetic nephropathy is 1
It is a major cause of morbidity and mortality in people with type 2 or type 2 diabetes.

“Neuropathy” is any disease associated with the cranial nerve or the peripheral or autonomic nervous system.

  “Gasmic paralysis” is a decrease in gastric peristalsis that results in delayed bowel drainage.

Severe patients encompassed by the present invention generally experience an unstable hypermetabolic state.
The unstable metabolic state is due to changes in substrate metabolism that can cause relative deficiencies in several nutrients. There is generally an increase in both fat and muscle oxidation.

In addition, critically ill patients are preferably patients who experience systemic inflammatory response syndrome or dyspnea. A decrease in morbidity means reducing the likelihood that a critically ill patient will develop an additional illness, condition or symptom, or reducing the severity of an additional illness, condition or symptom. For example, reducing morbidity may correspond to a reduced incidence of complications associated with bacteremia or sepsis or multiple organ failure.

As used herein, the singular forms “a”, “an”, and “the” include plural referents unless the context clearly indicates otherwise. Thus, for example, reference to “an antibody” includes a mixture of two or more such antibodies.

The term “about” as used herein refers to +/− 20% of a value, more preferably +/− 10%, or even more preferably +/− 5%.

The terms “polypeptide” and “protein” are used interchangeably, coding and non-coding amino acids, natural and non-natural amino acids, chemically or biochemically modified or derivatized amino acids, and modified peptides Figure 2 shows polymeric forms of amino acids of any length that can include a backbone-containing polypeptide. The term includes fusion proteins, whether with or without an N-terminal methionine residue, including fusion proteins with heterologous amino acid sequences, fusions with heterologous and homologous leader sequences; immunologically tagged proteins, etc. However, it is not limited to these.

The terms “individual”, “subject”, “host” and “patient” are used interchangeably,
Any subject for which treatment or therapy is desired, particularly humans. Other subjects can include cattle, dogs, cats, guinea pigs, rabbits, rats, mice, horses, and the like. In some preferred embodiments, the subject is a human.

As used herein, the term “sample” refers to patient-derived biological material. The sample assayed according to the present invention is not limited to any particular type. sample,
Non-limiting examples include single cells, multiple cells, tissues, tumors, biological fluids, biological molecules or supernatants or extracts of any of the foregoing. For example, tissue removed for biopsy, tissue removed during resection, blood, urine, lymphoid tissue, lymph fluid, cerebrospinal fluid, mucus and stool samples. The sample used will vary based on the assay format, detection method and the nature of the tumor, tissue, cell or extract being assayed. Methods for preparing samples are well known in the art and can be easily adapted to obtain samples that are compatible with the methods utilized.

The term “biological molecule” as used herein includes, but is not limited to, polypeptides, nucleic acids and saccharides.

The term “modulation” as used herein refers to a change in the quality or quantity of any molecule present inside, outside or on the surface of a gene, protein or cell. The change can be an increase or decrease in the expression or level of the molecule. The term “modulate” also includes, but is not limited to, lowering blood glucose, insulin, triglyceride or cholesterol levels; reducing liver lipids or liver triglyceride levels; reducing body weight; and glucose tolerance, energy expenditure or insulin. Includes changes in the quality or quantity of biological function / activity, including the ability to improve sensitivity.

As used herein, the term “modulator” refers to a composition that modulates one or more physiological or biochemical events associated with an FGF21 related disorder, eg, type 1 or type 2 diabetes or metabolic state-like obesity. Indicates. The events include, but are not limited to, reducing blood glucose, insulin, triglyceride or cholesterol levels; reducing liver lipids or liver triglyceride levels; reducing body weight; and the ability to improve glucose tolerance, energy expenditure or insulin sensitivity, but these It is not limited to.

A “gene product” is a biopolymer product that is expressed or produced by a gene. The gene product can be, for example, RNA, mRNA, splice variant mR, which are not joined together.
NA, polypeptide, post-translationally modified polypeptide, splice variant polypeptide, and the like. Also included by the term is a template (ie RNA cDNA)
As a biopolymer product made using the RNA gene product. A gene product can be made enzymatically, recombinantly, chemically, or in a cell in which the gene is native. In some embodiments, when the gene product is proteinaceous, it exhibits biological activity.
In some embodiments, when the gene product is a nucleic acid, it can be translated into a proteinaceous gene product that exhibits biological activity.

As used herein, “modulation of FGF21 activity” refers to, for example, drug interaction with an FGF21 polynucleotide or polypeptide, inhibition of FGF21 transcription and / or translation (eg, anti-FGF21 gene or FGF21 transcripts). Sense or s
It shows an increase or decrease in FGF21 activity that may be the result such as (via iRNA interaction, via regulation of transcription factors that promote FGF21 expression). For example, modulation of biological activity indicates an increase or decrease in biological activity. FGF21 activity is assessed by methods including, but not limited to, assaying blood glucose, insulin, triglyceride or cholesterol levels, assessing FGF21 polypeptide levels, or assessing FGF21 transcription levels in a subject. Can do. Comparison of FGF21 activity can also include, for example, measuring levels of FGF21 downstream biomarkers, and FGF21
It can be achieved by assessing an increase in 21 signaling. FGF2
1 activity is also cell signaling; kinase activity; glucose uptake into adipocytes; blood insulin, triglyceride or cholesterol level fluctuation; liver lipid or liver triglyceride level change; interaction between FGF21 and FGF21 receptor; or FGF21
It can be evaluated by measuring phosphorylation of the receptor. In some embodiments, phosphorylation of the FGF21 receptor can be tyrosine phosphorylation. In some embodiments, modulation of FGF21 activity can cause modulation of FGF21-related phenotypes.

Comparison of FGF21 activity can also be accomplished, for example, by measuring levels of FGF21 downstream biomarkers and assessing increases in FGF21 signaling. FGF21 activity is also cell signaling; kinase activity; glucose uptake into adipocytes; blood insulin, triglyceride or cholesterol level fluctuations; liver lipid or liver triglyceride level changes; FGF21 and receptors (FGFR-1c, F
Interaction between GFR-2c or FGFR-3c); or can be assessed by measuring phosphorylation of the FGF21 receptor. In some embodiments, phosphorylation of the FGF21 receptor can be tyrosine phosphorylation. In some embodiments, modulation of FGF21 activity can cause modulation of FGF21-related phenotypes.

As used herein, a “FGF21 downstream biomarker” is a measurable sign of a gene or gene product or gene or gene product. In some embodiments, the gene or activity that is a downstream marker of FGF21 has an altered level of expression,
Or in vascular tissue. In some embodiments, the activity of the downstream marker is FG
Altered in the presence of F21 modulator. In some embodiments, the downstream marker indicates an altered level of expression when FGF21 is perturbed with an FGF21 modulator of the invention. FGF21 downstream markers include, but are not limited to, glucose or 2-deoxy-glucose uptake, pERK and other phosphorylated or acetylated proteins or NAD levels.

The term “upregulate” as used herein refers to an increase in activity or amount, activation or stimulation. For example, in the context of the present invention, an FGF21 modulator is F
Can increase the activity of the GF21 receptor. In one embodiment, FGFR-1c, FGFR
-2c, or one or more of FGFR-3c may be upregulated in response to an FGF21 modulator. Upregulation also reduces FGF21-related activity, such as blood glucose, insulin, triglyceride or cholesterol levels; decreases liver lipids or triglyceride levels; decreases body weight; improves glucose tolerance, energy expenditure or insulin sensitivity; Or causes phosphorylation of the FGF21 receptor; or FGF2
The ability to increase one downstream marker can be shown. The FGFR21 receptor is FGFR-
It can be one or more of 1c, FGFR-2c, or FGFR-3c. The upregulation can be at least 25%, at least 50%, at least 75%, at least 100%, at least 150%, at least 200%, at least 250%, at least 400%, or at least 500% as compared to the control.

The term “N-terminal” as used herein refers to at least the first 20 amino acids of a protein.

As used herein, the terms “N-terminal domain” and “N-terminal region” are used interchangeably and begin with the first amino acid of a protein and any amino acid in the N-terminal half of the protein. Ending protein fragments are shown. For example, FGF21
The N-terminal domain of SEQ ID NO: 1 is from amino acid 1 of SEQ ID NO: 1 to approximately amino acid 10 of SEQ ID NO: 1.
Up to any amino acid between 105 and 105.

The term “C-terminus” as used herein refers to at least the last 20 amino acids of a protein.

As used herein, the terms “C-terminal domain” and “C-terminal region” are used interchangeably and refer to proteins that begin with any amino acid in the C-terminal half of the protein and end with the last amino acid of the protein. The fragment of is shown. For example, the C-terminal domain of FGF21 begins with any amino acid between amino acid 105 and about amino acid 200 of SEQ ID NO: 1 and ends with amino acid 209 of SEQ ID NO: 1.

As used herein, the term “domain” refers to the structural part of a biomolecule that contributes to the known or suspected function of the biomolecule. The domain may be the same as the region or a part thereof, and may incorporate a part of a biomolecule different from the specific region in addition to all or a part of the region.

As used herein, the term “signal domain” (also referred to as “signal sequence” or “signal peptide”) stretches in the N-terminal region of a precursor protein (often a membrane-bound or secreted protein). Represents the peptide domain present in the amino acid sequence of and is involved in post-translational protein transport. In many cases, the signal domain is removed from the full length protein by a specific signal peptidase after the selection process is complete. Each signal domain specifies a specific target for the precursor protein in the cell. FG
The signal domain of F21 is amino acids 1-28 of SEQ ID NO: 1.

The term “receptor binding domain” as used herein refers to any location or region of a protein that contacts a membrane-bound receptor protein and causes a cellular response, eg, a signaling event.

The term “ligand binding domain” as used herein refers to any portion or region of a fusion protein of the invention that retains at least one qualitative binding activity of the corresponding native sequence.

The term “region” refers to a physically adjacent portion of the primary structure of a biomolecule. In the case of proteins, a region is defined by adjacent portions of the protein's amino acid sequence. In some embodiments, a “region” is associated with a biomolecule function.

The term “fragment” as used herein refers to a physically adjacent portion of the primary structure of a biomolecule. In the case of a protein, the portion is defined by adjacent portions of the amino acid sequence of the protein, and is at least 3-5 amino acids, at least 8-10 amino acids, at least 11-15 amino acids, at least 17-24 amino acids, at least 25-30 amino acids and at least 30-45 amino acids are shown. In the case of an oligonucleotide, the portion is defined by adjacent portions of the nucleic acid sequence of the oligonucleotide and is at least 9-15 nucleotides, at least 18-30 nucleotides, at least 33-45 nucleotides,
At least 48-72 nucleotides, at least 75-90 nucleotides and at least 90-130 nucleotides are indicated. In some embodiments, the portion of the biomolecule has biological activity. In the context of the present invention, the FGF21 polypeptide fragment does not include the entire FGF21 polypeptide sequence set forth in SEQ ID NO: 1.

A “native sequence” polypeptide is one that has the same amino acid sequence as a polypeptide derived from nature. Such native sequence polypeptides can be isolated from nature or can be produced by recombinant or synthetic means. Thus, a native sequence polypeptide can have the amino acid sequence of a native human polypeptide, a mouse polypeptide, or a polypeptide from any other mammalian species.

"Homologous nucleotide sequence" or "homologous amino acid sequence" as used herein
Alternatively, the phrase variation refers to sequences characterized by at least a certain percentage of homology at the nucleotide or amino acid level and is used interchangeably with “sequence identity”. Homologous nucleotide sequences include sequences encoding protein isoforms. Such isoforms can be expressed in different tissues of the same organism, for example, as a result of alternative splicing of RNA. Alternatively, isoforms can be encoded by different genes. Homologous nucleotide sequences include nucleotide sequences that encode proteins of species other than human, including but not limited to mammals. Homologous nucleotide sequences also include, but are not limited to, natural allelic variations and mutations of the nucleotide sequences described herein. Homologous amino acid sequences include amino acid sequences that contain conservative amino acid substitutions and that polypeptides have the same binding and / or activity. In some embodiments, a nucleotide or amino acid sequence is homologous when it has at least 60% or more and up to 99% identity with a comparison sequence. In some embodiments, a nucleotide or amino acid sequence is homologous when it has one or more, up to 60 nucleotide / amino acid substitutions, additions or deletions with a comparison sequence. In some embodiments, a homologous amino acid sequence has up to 5 or up to 3 conservative amino acid substitutions.

Homology or percent identity is determined using the Gap program (Wisconsin Sequence Analysis Package, Version) using default settings, using, for example, the algorithm of Smith and Waterman (Adv. Appl. Math., 1981, 2, 482-489). 8 for UNIX, Gen
etics Computer Group, University Research Park, Madison WI). In some embodiments, the homology between the probe and target is about 75% to about 85%
It is. In some embodiments, the nucleic acid has a nucleotide that is at least about 95%, about 97%, about 98%, about 99%, and about 100% homologous to SEQ ID NO: 2 or a portion thereof.

Homology can also be at the polypeptide level. In some embodiments, the constituent polypeptides of the fusion proteins of the invention can be at least 95% homologous to the full-length wild-type counterpart or corresponding native sequence, or portion thereof. The degree of identity or percentage of the fusion protein of the present invention or part thereof and the different amino acid sequences is an exact match in the alignment of the two sequences divided by the smaller of the “sequence of the invention” or “foreign sequence”, whichever is smaller Calculate as the number of. Results are expressed as percent identity.

As used herein, the term “mixing” refers to the process of bringing one or more compounds, cells, molecules, etc. together in the same region. This can be done, for example, in a test tube, petri dish or any container capable of mixing one or more compounds, cells or molecules.

As used herein, the term “substantially purified” is a compound that has been removed from its natural environment and is free of at least 60%, at least 75%, and at least 90% of other naturally associated components. (For example, either a polynucleotide or a polypeptide or an antibody).

The term “pharmaceutically acceptable carrier” refers to a therapeutic agent, such as an antibody or polypeptide,
Carriers for administration of genes and other therapeutic agents are indicated. The term refers to any pharmaceutical carrier that does not itself induce the production of antibodies harmful to the individual receiving the composition and can be administered without undue toxicity. Suitable carriers can be large, slowly metabolized macromolecules such as proteins, polysaccharides, polylactic acid, polyglycolic acid, polymeric amino acids, amino acid copolymers, lipid aggregates and inactive virus particles. Such carriers are well known to those skilled in the art. Pharmaceutically acceptable carriers in therapeutic compositions can include liquids such as water, saline, glycerol and ethanol. Auxiliary substances such as wetting or emulsifying agents, pH
Buffer materials and the like can also be present in such vehicles.

Enhancing the physical stability of the fusion proteins of the invention The natural disulfide bond provided by a cysteine residue generally increases the thermodynamic stability of the protein. Successful examples of increased thermodynamic stability when measured in increasing melting temperature are the enzymes T4 lysozyme (Matsumura et al. PNAS 86: 6562-6566 (1989)) and barnase (Johnson et al. J. Mol. Biol. 268). : 198-208 (1997)), a number of disulfide-linked mutants. An aspect of the present invention is that of a preservative achieved by the presence of a disulfide bond in the mutant that suppresses the flexibility of wild-type FGF21, thereby limiting the access of the preservative to the hydrophobic core of the protein. Enhancement of the physical stability of FGF21 in the presence.

Thus, the second aspect of the present invention is enhanced by, for example, the incorporation of additional disulfide bonds, through incorporation or substitution of cysteine residues into the wild-type FGF21 protein or polypeptide and protein variants of the present invention. A variant of human FGF21 having biological stability or a biologically active peptide thereof is provided. Those skilled in the art, in addition to the proposed embodiments described herein, utilize natural cysteine, cysteine 103, and cysteine 121 as loci to introduce new disulfide bonds that may provide improved properties. Recognize that you can.

These are two or more of the following: glutamine 46, arginine 47, tyrosine 48,
Leucine 49, tyrosine 50, threonine 51, aspartic acid 52, aspartic acid 5
3, alanine 54, glutamine 55, glutamine 56, threonine 57, glutamic acid 5
8, alanine 59, histidine 60, leucine 61, glutamic acid 62, isoleucine 6
3, valine 69, glycine 70, glycine 71, alanine 72, alanine 73, leucine 144, histidine 145, leucine 146, proline 147, glycine 148, asparagine 149, lysine 150, serine 151, proline 152, histidine 153, arginine 154, Aspartic acid 155, proline 156, alanine 157, proline 15
8, Arginine 159, Glycine 160, Proline 161, Alanine 162, Arginine 163, Phenylalanine 164 (where the amino acid number is the full length 209 amino acids hF)
Wild-type FG with substitution with cysteine for GF21 sequence (based on SEQ ID NO: 1)
Includes fusion proteins including F-21.

In addition to the natural one of Cys103-Cys121, the fusion protein of the present invention is as follows: a variant of wild-type human FGF21 enhanced by engineered disulfide bonds or biologically active thereof Peptides can be included: Gln46Cys-Ala5
9Cys, Gln46Cys-His60Cys, Gln46Cys-Leu61Cys
, Gln46Cys-Glu62Cys, Gln46Cys-Ile63Cys, Arg
47Cys-Ala59Cys, Arg47Cys-His60Cys, Arg47Cy
s-Leu61Cys, Arg47Cys-Glu62Cys, Arg47Cys-Il
e63Cys, Tyr48Cys-Ala59Cys, Tyr48Cys-His60C
ys, Tyr48Cys-Leu61Cys, Tyr48Cys-Glu62Cys, T
yr48Cys-Ile63Cys, Leu49Cys-Ala59Cys, Leu49
Cys-His60Cys, Leu49Cys-Leu61Cys, Leu49Cys-
Glu62Cys, Leu49Cys-Ile63Cys, Tyr50Cys-Ala5
9Cys, Tyr50Cys-His60Cys, Tyr50Cys-Lue61Cys
, Tyr50Cys-Glu62Cys, Tyr50Cys-Ile63Cys, Leu
144Cys-Gly160Cys, Leu144Cys-Pro161Cys, Leu
144Cys-Ala162Cys, Leu144Cys-Arg163Cys, Leu
144Cys-Phe164Cys, His145Cys-Gly160Cys, His
145Cys-Pro161Cys, His145Cys-Ala162Cys, His
145Cys-Arg163Cys, His145Cys-Phe164Cys, Leu
146Cys-Gly160Cys, Leu146Cys-Pro161Cys, Leu
146Cys-Ala162Cys, Leu146Cys-Arg163Cys, Leu
146Cys-Phe164Cys, Pro147Cys-Gly160Cys, Pro
147Cys-Pro161Cys, Pro147Cys-Ala162Cys, Pro
147Cys-Arg163Cys, Pro147Cys-Phe164Cys, Gly
148Cys-Gly160Cys, Gly148Cys-Pro161Cys, Gly
148Cys-Ala162Cys, Gly148Cys-Arg163Cys, Gly
148Cys-Phe164Cys, Thr57Cys-Val69Cys, Thr57
Cys-Gly70Cys, Thr57Cys-Gly71Cys, Thr57Cys-
Ala72Cys, Thr57Cys-Ala73Cys, Glu58Cys-Val6
9Cys, Glu58Cys-Glu70Cys, Glu58Cys-G71Cys, G
lu58Cys-Ala72Cys, Glu58Cys-Ala73Cys, Ala59
Cys-Val69Cys, Ala59Cys-Gly70Cys, Ala59Cys-
Gly71Cys, Ala59Cys-Ala72Cys, Ala59Cys-Ala7
3Cys, His60Cys-Val69Cys, His60Cys-Gly70Cys
His60Cys-Gly71Cys, His60Cys-Ala72Cys, His
60Cys-Ala73Cys, Leu61Cys-Val69Cys, Leu61Cy
s-Gly70Cys, Leu61Cys-Gly71Cys, Leu61Cys-Al
a72Cys, Leu61Cys-Ala73Cys, Arg47Cys-Gly148
Cys, Tyr48Cys-Gly148Cys, Leu49Cys-Gly148Cy
s, Tyr50Cys-Gly148Cys, Thr51Cys-Gly148Cys,
Asp52Cys-Gly148Cys, Asp53Cys-Gly148Cys, Al
a54Cys-Gly148Cys, Gln55Cys-Gly148Cys, Gln5
6Cys-Gly148Cys, Thr57Cys-Gly148Cys, Glu58C
ys-Gly148Cys, Arg47Cys-Asn149Cys, Tyr48Cys
-Asn149Cys, Leu49Cys-Asn149Cys, Tyr50Cys-A
sn149Cys, Thr51Cys-Asn149Cys, Asp52Cys-Asn
149Cys, Asp53Cys-Asn149Cys, Ala54Cys-Asn14
9Cys, Gln55Cys-Asn149Cys, Gln56Cys-Asn149C
ys, Thr57Cys-Asn149Cys, Glu58Cys-Asn149Cys
Arg47Cys-Lys150Cys, Tyr48Cys-Lys150Cys, L
eu49Cys-Lys150Cys, Tyr50Cys-Lys150Cys, Thr
51Cys-Lys150Cys, Asp52Cys-Lys150Cys, Asp53
Cys-Lys150Cys, Ala54Cys-Lys150Cys, Gln55Cy
s-Lys150Cys, Gln56Cys-Lys150Cys, Thr57Cys-
Lys150Cys, Glu58Cys-Lys150Cys, Arg47Cys-Se
r151Cys, Tyr48Cys-Ser151Cys, Leu49Cys-Ser1
51Cys, Tyr50Cys-Ser151Cys, Thr51Cys-Ser151
Cys, Asp52Cys-Ser151Cys, Asp53Cys-Ser151Cy
s, Ala54Cys-Ser151Cys, Gln55Cys-Ser151Cys,
Gln56Cys-Ser151Cys, Thr57Cys-Ser151Cys, Gl
u58Cys-Ser151Cys, Arg47Cys-Pro152Cys, Tyr4
8Cys-Pro152Cys, Leu49Cys-Pro152Cys, Tyr50C
ys-Pro152Cys, Thr51Cys-Pro152Cys, Asp52Cys
-Pro152Cys, Asp53Cys-Pro152Cys, Ala54Cys-P
ro152Cys, Gln55Cys-Pro152Cys, Gln56Cys-Pro
152Cys, Thr57Cys-Pro152Cys, Glu58Cys-Pro15
2Cys, Arg47Cys-His153Cys, Tyr48Cys-His153C
ys, Leu49Cys-His153Cys, Tyr50Cys-His153Cys
, Thr51Cys-His153Cys, Asp52Cys-His153Cys, A
sp53Cys-His153Cys, Ala54Cys-His153Cys, Gln
55Cys-His153Cys, Gln56Cys-His153Cys, Thr57
Cys-His153Cys, Glu58Cys-His153Cys, Arg47Cy
s-Arg154Cys, Tyr48Cys-Arg154Cys, Leu49Cys-
Arg154Cys, Tyr50Cys-Arg154Cys, Thr51Cys-Ar
g154Cys, Asp52Cys-Arg154Cys, Asp53Cys-Arg1
54Cys, Ala54Cys-Arg154Cys, Gln55Cys-Arg154
Cys, Gln56Cys-Arg154Cys, Thr57Cys-Arg154Cy
s, Glu58Cys-Arg154Cys, Arg47Cys-Asp155Cys,
Tyr48Cys-Asp155Cys, Leu49Cys-Asp155Cys, Ty
r50Cys-Asp155Cys, Thr51Cys-Asp155Cys, Asp5
2Cys-Asp155Cys, Asp53Cys-Asp155Cys, Ala54C
ys-Asp155Cys, Gln55Cys-Asp155Cys, Gln56Cys
-Asp155Cys, Thr57Cys-Asp155Cys, Glu58Cys-A
sp155Cys, Arg47Cys-Pro156Cys, Tyr48Cys-Pro
156Cys, Leu49Cys-Pro156Cys, Tyr50Cys-Pro15
6Cys, Thr51Cys-Pro156Cys, Asp52Cys-Pro156C
ys, Asp53Cys-Pro156Cys, Ala54Cys-Pro156Cys
Gln55Cys-Pro156Cys, Gln56Cys-Pro156Cys, T
hr57Cys-Pro156Cys, Glu58Cys-Pro156Cys, Arg
47Cys-Ala157Cys, Tyr48Cys-Ala157Cys, Leu49
Cys-Ala157Cys, Tyr50Cys-Ala157Cys, Thr51Cy
s-Ala157Cys, Asp52Cys-Ala157Cys, Asp53Cys-
Ala157Cys, Ala54Cys-Ala157Cys, Gln55Cys-Al
a157Cys, Gln56Cys-Ala157Cys, Thr57Cys-Ala1
57Cys, Glu58Cys-Ala157Cys, Arg47Cys-Pro158
Cys, Tyr48Cys-Pro158Cys, Leu49Cys-Pro158Cy
s, Tyr50Cys-Pro158Cys, Thr51Cys-Pro158Cys,
Asp52Cys-Pro158Cys, Asp53Cys-Pro158Cys, Al
a54Cys-Pro158Cys, Gln55Cys-Pro158Cys, Gln5
6Cys-Pro158Cys, Thr57Cys-Pro158Cys, Glu58C
ys-Pro158Cys, Arg47Cys-Arg159Cys, Tyr48Cys
-Arg159Cys, Leu49Cys-Arg159Cys, Tyr50Cys-A
rg159Cys, Thr51Cys-Arg159Cys, Asp52Cys-Arg
159Cys, Asp53Cys-Arg159Cys, Ala54Cys-Arg15
9Cys, Gln55Cys-Arg159Cys, Gln56Cys-Arg159C
ys, Thr57Cys-Arg159Cys, Glu58Cys-Arg159Cys
Arg47Cys-G160Cys, Tyr48Cys-G160Cys, Leu49
Cys-G160Cys, Tyr50Cys-Gly160Cys, Thr51Cys-
Gly160Cys, Asp52Cys-Gly160Cys, Asp53Cys-Gl
y160Cys, Ala54Cys-Gly160Cys, Gln55Cys-Gly1
60Cys, Gln56Cys-Gly160Cys, Thr57Cys-Gly160
Cys, Glu58Cys-Gly160Cys, Arg47Cys-Pro161Cy
s, Tyr48Cys-Pro161Cys, Leu49Cys-Pro161Cys,
Tyr50Cys-Pro161Cys, Thr51Cys-Pro161Cys, As
p52Cys-Pro161Cys, Asp53Cys-Pro161Cys, Ala5
4Cys-Pro161Cys, Gln55Cys-Pro161Cys, Gln56C
ys-Pro161Cys, Thr57Cys-Pro161Cys, Glu58Cys
-Pro161Cys, Arg47Cys-Ala162Cys, Tyr48Cys-A
la162Cys, Leu49Cys-Ala162Cys, Tyr50Cys-Ala
162Cys, Thr51Cys-Ala162Cys, Asp52Cys-Ala16
2Cys, Asp53Cys-Ala162Cys, Ala54Cys-Ala162C
ys, Gln55Cys-Ala162Cys, Gln56Cys-Ala162Cys
, Thr57Cys-Ala162Cys, Glu58Cys-Ala162Cys, A
rg47Cys-Arg163Cys, Tyr48Cys-Arg163Cys, Leu
49Cys-Arg163Cys, Tyr50Cys-Arg163Cys, Thr51
Cys-Arg163Cys, Asp52Cys-Arg163Cys, Asp53Cy
s-Arg163Cys, Ala54Cys-Arg163Cys, Gln55Cys-
Arg163Cys, Gln56Cys-Arg163Cys, Thr57Cys-Ar
g
163Cys, Glu58Cys-Arg163Cys.

Another aspect of the invention is the substitution of cysteine at two or more amino acid positions shown in the second embodiment of the invention, along with any charged amino acid at any amino acid position shown in the first embodiment of the invention. And / or a fusion protein comprising a variant of wild-type human FGF21 or a biologically active peptide thereof that is polar but contains a substitution of an uncharged amino acid.

It is well known in the art that the fusion protein of the present invention is improved against wild-type protein comparators and variants thereof, an important challenge in the development of protein drugs is to address the physicochemical instability of proteins . This is even more evident when the protein pharmaceutical formulation is intended for multiple uses, where the injectable formulation maintains a favorable bioactivity profile while requiring a stable concentrated stock solution. Biophysical characterization of wild-type FGF21 in the literature is concentrated protein solution (> 5 mg / ml)
Has established that it causes accelerated association and aggregation (ie poor physical stability and biopharmaceutical properties) when exposed to stress conditions such as high temperature or low pH. Exposure of a concentrated protein solution of FGF21 to a pharmaceutical preservative (eg, m-cresol) also had a negative impact on physical stability.

Thus, an aspect of the present invention is to maintain the chemical stability and biological efficacy but enhance the physical stability of the concentrated solution under both physiological and storage formulation conditions. It is conceivable that at a given protein concentration, association and aggregation can be caused by hydrophobic interactions, since temperature and ionic strength have a significant effect on physical stability. Almost
Surface exposed amino acid residues that were assumed to be non-conservative were targeted. The local environment of these residues was analyzed and those not considered structurally important were selected for mutagenesis. One way of initiating a specific change is to introduce the pI of the protein by introducing a glutamic acid residue.
Is further reduced ("glutamic acid scan"). Introduction of charge substitution is charge −
It can be hypothesized that hydrophobic mediated aggregation may be inhibited through charge repulsion and may improve preservative compatibility. In addition, those skilled in the art also have a sufficient degree of mutagenesis to shift the pi into the basic pH range by introducing a positive charge with or without simultaneous reduction of the negative charge, thus charge-charge. Recognize that it can cause a backlash.

Further difficulties associated with the therapeutic indication of wild-type FGF21 as a biological drug are, for example, that its half-life is very short in vivo (about 0. 0 in mice and primates, respectively).
5 and 2 hours). Thus, there is a need to develop follow-up compounds that are more effective either by higher potency or longer half-life. The fusion proteins of the present invention have been developed as a means to achieve the desired effects of FGF21 treatment with higher potency and half-life extended formulations.

As further described herein, the fusion protein of the present invention is a PCT publication WO
Compared to the very short half-life of wild-type FGF21 at 10/129600 and the 17-hour half-life of the fusion protein Fc-L (15) -FGF21 (L98R, P171G, A180E), a better half-life in mice of 2 weeks or more Have. The fusion proteins of the present invention are also described herein and US patent application 61/415, filed November 19, 2010.
Compared to the PEGylated V76 described in 476, it demonstrates improved half-life and pharmacokinetic properties.

Furthermore, the Fc-FGF21 fusion protein of the invention at 1 mpk is more effective than V76 at 5 mpk for reducing glucose, insulin, body weight and liver lipids. In a 12-day treatment study in ob / ob mice, the fusion protein shows the following% change from vehicle (all fusions administered at 1.0 mg / kg, V76 at 5.0 mg
/ Kg)):

Total glucose (AUC)% change from vehicle: V76 is −42%; V101 is −53%, V103 is −46% and V188 is −42%;

Total plasma insulin% change from vehicle: V76 is -46%; V101 is -82
%, V103 is -69%, and V188 is -59%;

Total body weight% change from vehicle: V76 is -7%; V101 is -12%, V
103 is -12%, V188 is -11%; and

Total liver lipid% change from vehicle: V76 is −30%; V101 is −44%, V103 is −50%, and V188 is −51%.

Similarly, in vitro assays are more than 5 times more potent than V76 for fusion proteins of the invention:

In pERK in human adipocyte assay (mean EC50 ± SEM), V76 is 21 ± 2 nM (n = 3); V101 is 1.0 ± 0.1 nM (n = 3), V1
03 is 1.3 ± 0.2 nM (n = 3), and V188 is 1.4 ± 0.4 nM (n = 3).
Is

In pERK in HEK293 in human β Klotho assay (mean EC50 ±
SEM), V76 is 13 ± 4 nM (n = 5), and V101 is 0.60 ± 0.06 nM.
(N = 5), V103 is 0.9 ± 0.3 nM (n = 5), and V188 is 0.4.
± 0.1 nM (n = 3); and

In glucose uptake in mouse adipocyte assay (mean EC50 ± SEM),
V76 is 5 ± 1 nM (n = 3), V101 is 0.60 ± 0.06 nM (n = 3), V103 is 0.60 ± 0.07 nM (n = 3), and V188 is 0. .48 ± 0.
14 nM (n = 3).

Aspects of the invention involve physicochemical stability under conditions of both physiological and stored pharmaceutical formulations, but maintain the biological efficacy of the fusion protein of the invention compared to, for example, wild type FGF21. Is an important factor to be considered as well. Thus, the biological potency of the proteins of the invention is defined by the ability of the protein to affect glucose intake and / or lowering plasma glucose levels, as shown in the Examples herein.

The proteins, polypeptides and / or peptides of the invention to be administered according to the invention can be made and / or isolated by any means known in the art. The most preferred method for producing variants is via recombinant DNA methodology and is well known to those skilled in the art. Such a method is described in Molecular Biology (John
Wiley & Sons, Inc.), Current Protocols, which is incorporated herein by reference.

Furthermore, preferred embodiments include biologically active peptides derived from the variants described herein. Such peptides comprise at least one substitution described and the variant has biological activity. Peptides can be produced by any and all means known to those skilled in the art, examples of which include, but are not limited to, enzymatic digestion, chemical synthesis or recombinant DNA methodology.

It has been established in the art that certain fibroblast growth factor peptide fragments are biologically active. For example, Baird et al. Proc. Natl. Acad. Sci (USA) 85: 2324-2328 (
1988) and J. Cell. Phys. Suppl. 5: 101-106 (1987). Thus, the selection of variant fragments or peptides is based on criteria known in the art. For example, dipeptidyl peptidase IV (DPP-IV or DPP-4) is known to be a serine-type protease involved in inactivation of neuropeptides, endocrine peptides and cytokines (Damme et al. Chem. Immunol. 72: 42-56, (1999)). N-terminus of FGF21 (H
isProIlePro) contains two dipeptides that may be substrates for DPP-IV and can result in a fragment of FGF21 cleaved at the N-terminus by four amino acids. Unexpectedly, the fragment of wild-type FGF21 has been shown to retain biological activity, and thus a protein of the invention cleaved at the N-terminus by up to 4 amino acids is an aspect of the invention. It is.

The invention also includes polynucleotides that encode the above variants, which may be in the form of RNA or in the form of DNA, which DNA includes cDNA, genomic DNA, and synthetic DNA.
The DNA may be double stranded or single stranded. The coding sequence encoding the protein of the invention may vary as a result of duplication or degeneracy of the genetic code.

A polynucleotide encoding a fusion protein of the invention may include: only the coding sequence for the variant, the coding sequence for the variant and additional coding sequences, eg, a functional polypeptide, or a leader or secretory sequence or precursor Protein sequence; coding and non-coding sequences for variants, eg, 5 ′ and / or 3 ′ non-coding sequences of coding sequences for introns or variants. Thus, the term “variant-encoding polynucleotide” includes polynucleotides that can include not only coding sequences for variants, but also polynucleotides, including additional coding and / or non-coding sequences.

The invention further relates to variants of the described polynucleotides that encode fragments, analogs and derivatives of the polypeptides comprising the indicated substitutions. The variant of the polynucleotide can be a natural allelic variant, a non-natural variant, or a truncated variant of the human FGF21 sequence. Accordingly, the present invention also includes polynucleotides that encode the above variants, as well as variants of such polynucleotides that encode fragments, derivatives or analogs of the described variants. Such nucleotide variants include deletion variants, substitution variants, truncation variants, and addition or insertion variants as long as at least one indicated amino acid substitution of the first or second aspect is present. .

A polynucleotide of the invention is expressed in a host after the sequence is operably linked to an expression control sequence (ie, positioned to ensure the function of the expression control sequence). These expression vectors are generally replicable in the host organism as an integral part of episomal or host chromosomal DNA. In general, the expression vector may contain selectable markers such as tetracycline, neomycin and dihydrofolate reductase to allow detection of cells transformed with the desired DNA sequence. The FGF21 mutant can be expressed in mammalian cells, insects, yeast, bacteria or other cells under the control of a suitable promoter. Cell-free translation systems can also be used to produce such proteins using RNA from the DNA constructs of the present invention.

E. coli is a prokaryotic host particularly useful for cloning the polynucleotides of the present invention. Other microbial hosts suitable for use include Bacillus subtilus, Salmonella typhimurium and various species of Serratia, Pseudomonas, Streptococcus and Staphylococcus, although others are of course optional. Can be used. In these prokaryotic hosts, one can also make expression vectors containing expression control sequences (eg, origins of replication) that are generally compatible with the host cell. In addition, many well-known promoters such as the lactose promoter system, tryptophan (Trp
There may be a promoter system, a beta-lactamase promoter system, or a phage lambda or T7 derived promoter system. A promoter is generally used to control expression and initiate and complete transcription and translation, optionally with operator sequences.
It has a ribosome binding site sequence and the like.

Those skilled in the art of protein expression recognize that methionine or methionine-arginine sequences can be introduced at the N-terminus of the mature sequence (SEQ ID NO: 3) for expression in E. coli and are considered in the context of the present invention. . Thus, unless otherwise specified, the proteins of the invention expressed in E. coli have a methionine sequence introduced at the N-terminus.

Other microorganisms such as yeast or fungi can also be used for expression. Methanol-utilizing yeast, budding yeast, fission yeast and Pichia angusta are desired,
Examples of preferred yeast hosts are along with appropriate vectors having expression control sequences, such as promoters, such as 3-phosphoglycerate kinase or other glycolytic enzymes, and origins of replication, termination sequences, and the like. Aspergillus niger, Trichoderma reesei; and Schizophyllum commune
Is an example of a fungal host, but others can of course be used as options.

Mammalian tissue cell cultures can also be used to express and produce the polypeptides of the invention. Since many suitable host cell lines capable of secreting intact mutants have been developed in the art, eukaryotic cells are actually preferred, CHO cell lines, various COS cell lines,
Including NSO cells, Syrian Hamster ovary cell lines, HeLa cells or human embryonic kidney cell lines (ie HEK293, HEK293EBNA).

Expression vectors for these cells include expression control sequences, such as origins of replication, promoters, enhancers, and necessary processing information sites, such as ribosome binding sites, RNA splice sites, polyadenylation sites, and transcription terminator sequences. be able to. Preferred expression control sequences are promoters derived from SV40, adenovirus, bovine papilloma virus, cytomegalovirus, Raus sarcoma virus and the like. Preferred polyadenylation sites include sequences derived from SV40 and bovine growth hormone.

A vector containing a polynucleotide sequence of interest (eg, a fusion protein of the invention and an expression control sequence) can be transferred to a host cell by well-known methods, depending on the type of cellular host. Change. For example, calcium chloride transfection is commonly utilized for prokaryotic cells, and calcium phosphate treatment or electroporation can be used for other cellular hosts.

Various methods of protein purification can be used, such as, for example, Deutscher, M.
ethods in Enzymology 182: 83-9 (1990) and Scopes, Protein Purification: Princip
les and Practice, Springer-Verlag, NY (1982), known and described in the art. The purification step selected will depend, for example, on the nature of the production process used for the fusion protein of the invention.

The proteins, polypeptides and / or peptides of the present invention, eg, dual active fusion proteins of the present invention, can be used in a patient's clinical condition, site of delivery of protein composition, method of administration, administration schedule and other known to the expert. Considering the factors, it should be prescribed and administered in a manner consistent with good medical practice. Thus, for purposes herein, a “therapeutically effective amount” of the fusion protein of the invention is determined by such considerations.

The pharmaceutical composition of the protein of the invention can be administered to treat type 1 and type 2 diabetes, obesity, metabolic syndrome or severely ill patients by any means that generally achieve the intended purpose. Non-limiting acceptable means of administration include, for example, by inhalation or suppository, or by mucosal tissue, for example by vaginal, rectal, urethral, oral and sublingual tissue washing, orally, nasally, topically Intranasal, intraperitoneal, parenteral, intravenous, intramuscular, intrasternal, intraarticular injection, intralymphatic, interstitial, intraarterial, subcutaneous, intrasynovial, transepithelial and transdermal Including In some embodiments, the pharmaceutical composition is administered by irrigation, orally or in an artery. Other suitable methods of introduction can also include rechargeable or biodegradable devices and sustained or sustained release polymer devices. The pharmaceutical compositions of the invention can also be administered as part of a combination therapy with other known metabolic agents.

The dose administered will depend on age, health status and recipient weight, if any, type of co-treatment, frequency of treatment, and nature of desired effect. Compositions within the scope of the present invention are F
GF21 variants include all compositions present in an amount that is effective to achieve the desired medical effect for the treatment of type 1 or type 2 diabetes, obesity or metabolic syndrome. While individual needs may vary from one patient to another, determination of optimal ranges of effective amounts of all components is within the ordinary clinician's ability.

The protein of the present invention can be formulated according to known methods to prepare pharmaceutically useful compositions. The desired formulation can be any pharmaceutically acceptable carrier, preservative,
A stable lyophilized product reconstituted with a high purity suitable diluent or aqueous solution with excipients or stabilizers [Remington's Pharmaceutical Sciences 16th edition (1980
)]. The proteins of the present invention can be combined with a pharmaceutically acceptable buffer to adjust the pH to provide acceptable stability and an acceptable pH for administration.

For parenteral administration, in one embodiment, the fusion proteins of the invention generally contain one or more of the proteins of the desired degree of purity in a unit dose injectable form (solution, suspension or emulsion). Formulated by mixing with a pharmaceutically acceptable carrier, ie one that is non-toxic to the recipient at the dosage and concentration used and compatible with the other ingredients of the formulation. Preferably, one or more pharmaceutically acceptable antimicrobial agents may be added. Phenol, m-cresol and benzyl alcohol are preferred pharmaceutically acceptable antimicrobial agents.

Optionally, the one or more pharmaceutically acceptable salts are ionic strength or tonicity.
Can be added to adjust. One or more excipients can be added to further adjust the isotonicity of the formulation. Glycerin, sodium chloride and mannitol are examples of excipients that adjust isotonicity.

One skilled in the art can readily optimize pharmaceutically effective doses and dosing regimens for therapeutic compositions containing the proteins of the invention as determined by good medical practice and the clinical status of the individual patient. A typical dose range for a protein of the invention is about 0.01 mg / day to about 1000 mg / day for an adult (or about 0.05 mg per weekly administration).
/ Week to about 5000 mg / week). Preferably, the dosage is from about 0.1 mg / day to about 100 mg / day (or from about 0.5 mg / week to about 500 mg / week for administration once a week), more preferably from about 1.0 mg / day. The range is about 10 mg / day (or about 5 mg / week to about 50 mg / week for administration once a week). More preferably, the dose is about 1-5 m
g / day (or about 5 mg / week to about 25 mg / week for administration once a week). The appropriate dose of FGF21 variant to be administered results in lower blood glucose levels and increased energy consumption due to faster and more efficient glucose utilization, thus treating type 1 and type 2 diabetes, obesity and metabolic syndrome Useful for.

In addition, because hyperglycemia and insulin resistance are common in critically ill patients fed nutrition, some ICUs administer insulin to treat excessive hyperglycemia in critically fed patients . In fact, recent trials have shown that the use of exogenous insulin to maintain blood glucose at a level not higher than 110 mg per deciliter, whether or not having a history of diabetes, is a critically ill patient in a surgical intensive care unit. Has been demonstrated to reduce morbidity and mortality (Van den Berghe et al. N Engl J Med., 345 (19): 1359
, (2001)). Thus, the proteins of the present invention are uniquely suitable for helping to restore metabolic stability in metabolically unstable severe patients. Proteins of the invention, such as those containing variants of FGF21, are unique in that they stimulate glucose uptake and enhance insulin sensitivity but do not induce hypoglycemia.

In another aspect of the present invention, obesity, type 1 and type 2 diabetes, pancreatitis, dyslipidemia, nonalcoholic fatty liver disease (NAFLD), nonalcoholic steatohepatitis (NASH), insulin resistance, hyperinsulinemia The present invention for use as a medicament for the treatment of impaired glucose tolerance, hyperglycemia, metabolic syndrome, acute myocardial infarction, conditions associated with severe inactivating mutations in insulin receptors, and other metabolic disorders Of proteins are considered.

Site-specific FGF21 mutants In some embodiments, the fusion proteins of the invention comprise additional FGF21 mutants or FGF21 analogs having unnatural amino acids.

In some embodiments, the fusion proteins of the invention comprise FGF21 agonists having one or more of the following wild type FGF21 further modifications:

(I) Dimerization, such as disulfide formation at R154C or introduction of cysteine at another site, or dimerization via a fused Fc domain, or a crosslinker, such as a bifunctional PEG Further disulfides, unnatural amino acids or modifications to facilitate dimer formation via

  (Ii) a fragment of FGF21;

(Iii) a protein selected to have FGF21 activity (binding to beta-Klotho and binding and activation of FGFR); and

(Iv) F (various forms such as Fab, unibody, svFc, etc.) F
GF21 mimetic antibody

In some embodiments, the fusion proteins of the invention comprise one or more of the following linkers: a single amide bond, a short peptide (particularly a Ser / Gly repeat), an additional residue from the FGF21 translation sequence, or Up to large whole protein linkers (eg Fc domains, HSA-binding helix bundles, HSA, etc.). The two moieties can also be made by other chemical means, for example, unnatural amino acids or standard chemical linkers (maleimide-Cys, NH
S-Lys, clicks, etc.).

Other aspects of the invention include, but are not limited to, the following linkages for half-life extension: HSA-binding lipids or small molecules or micelles to either the monomeric or dimeric form of the fusion.

In one embodiment of the invention, other bonds can be made to the proteins, polypeptides and / or peptides of the invention to achieve half-life extension and other improved biological properties. They may be added to the proteins, polypeptides and / or peptides of the present invention by P.
Binding EG-cholesterol complexes (including micelles and liposomes) and / or linking sugars (glycosylation) to the proteins, polypeptides and / or peptides of the invention. In still other embodiments, similar techniques can be used to convert, for example, polysialic acid (PSA), hydroxyethyl starch (HES), albumin binding ligand or carbohydrate shield complex, protein, polypeptide, and / or Or added to the peptide.

HESylation technology can be used to convert branched hydroxyethyl starch (HES) chains (60 kDa or 100 kDa highly branched amylopectin fragments from corn starch) to proteins, polypeptides, and / or, for example, via reductive alkylation. Binds to the peptide. Polysialation combines a protein, polypeptide, and / or peptide of interest with a polysialic acid (PSA) polymer in a manner similar to pegylation. PSA polymers are negatively charged non-immunogenic polymers that occur naturally in the body and are available in molecular weights of 10-50 kD.

In still other embodiments of the invention, other linkages or modifications may be made to the proteins, polypeptides and / or peptides of the invention to achieve half-life extension and other improved biological properties. . These include the creation of recombinant PEG (rPEG) groups and their attachment to the proteins, polypeptides and / or peptides of the invention. Amu
As developed by Nix, Inc, rPEG technology is based on protein sequences with PEG-like properties that are genetically fused to biopharmaceuticals and avoid extra chemical coupling steps. r
PEG is an extended half-life exenatide construct that contains a long unstructured tail of hydrophilic amino acids, which can both increase the serum half-life of a protein or peptide and delay its absorption rate , Thus significantly reducing the peak trough ratio. r
PEG has an increased hydrodynamic radius and exhibits an apparent molecular weight that is approximately 15 times the actual molecular weight, mimicking how pegylation achieves a long serum half-life.

Cleaved FGF21 polypeptide One aspect of the invention is a truncated form of the mature FGF21 polypeptide (SEQ ID NO: 3). This aspect of the invention resulted from an effort to identify cleaved FGF21 polypeptides that, in some cases, could provide similar activity to the uncleaved form of mature FGF21 polypeptide.

As used herein, the term “cleaved FGF21 polypeptide” refers to an amino acid residue that has been removed from the amino terminus (or N-terminus) of an FGF21 polypeptide, or where the amino acid residue is the carboxyl terminus of an FGF21 polypeptide ( Or a C-terminus) or an amino acid residue is removed from both the amino terminus and the carboxyl terminus of an FGF21 polypeptide. The various cleavages described herein were prepared as described herein.

The activity of N-terminally truncated FGF21 polypeptides and C-terminally truncated FGF21 polypeptides can be assayed using an in vitro phospho-ERK assay. Specific details of in vitro assays that can be used to test the activity of cleaved FGF21 polypeptides can be found in the Examples.

The activity of a truncated FGF21 polypeptide of the invention can also be determined by in vivo assays such as ob
Can be evaluated in / ob mice. In general, the cleaved FGF21 polypeptide can be administered intraperitoneally to the test animal in order to assess the in vivo activity of the cleaved FGF21 polypeptide. After a desired incubation period (eg, 1 hour or longer), a blood sample can be taken and blood glucose levels can be measured.

a. N-terminal truncation

In some embodiments of the invention, the N-terminal truncation is N of the mature FGF21 polypeptide.
-Contain 1, 2, 3, 4, 5, 6, 7 or 8 amino acid residues from the end. A truncated FGF21 polypeptide having an N-terminal truncation of less than 9 amino acid residues retains the ability of mature FGF21 polypeptide to lower blood glucose in an individual. Thus, in certain aspects, the invention provides a truncated form of mature FGF21 polypeptide or FGF21 protein variant having an N-terminal truncation of 1, 2, 3, 4, 5, 6, 7 or 8 amino acid residues. including.

b. C-terminal truncation

In some embodiments of the invention, the C-terminal truncation is C of the mature FGF21 polypeptide.
-It contains 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11 or 12 amino acid residues from the end. A truncated FGF21 polypeptide with a C-terminal truncation of less than 13 amino acid residues has been described in vitro ELK-luciferase assay (Yie J et al. FEBS Letts 583: 19-24
(2009)) showed an efficacy of at least 50% of that of wild-type FGF21, indicating that these FGF21 mutants retain the ability of mature FGF21 polypeptides to lower blood glucose in individuals. Thus, in certain aspects, the present invention provides 1, 2,
Includes truncated forms of mature FGF21 polypeptides or FGF21 protein variants with C-terminal truncation of 3, 4, 5, 6, 7, 8, 9, 10, 11 or 12 amino acid residues.

c. N-terminal and C-terminal truncation

In some embodiments of the invention, the truncated FGF21 polypeptide is N-terminal and C-
-It can have a combination of truncations. A truncated FGF21 polypeptide with a combination of N-terminal and C-terminal truncations shares the activity of the corresponding truncated FGF21 polypeptide with either N-terminal or C-terminal truncation alone. In other words, a truncated FGF21 polypeptide having both an N-terminal truncation of less than 9 amino acid residues and a C-terminal truncation of less than 13 amino acid residues is an N-terminal truncation of less than 9 amino acid residues. Cutting F with
Cleaved FG with C-terminal truncation of GF21 polypeptide or less than 13 amino acid residues
Has hypoglycemic activity similar to or greater than F21 polypeptide. Thus, in certain embodiments, the present invention provides N-- of 1, 2, 3, 4, 5, 6, 7 or 8 amino acid residues.
A truncated form of mature FGF21 polypeptide or FG with both truncation and C-terminal truncation of 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11 or 12 amino acid residues
Includes F21 protein variants.

As with all FGF21 variants of the invention, the truncated FGF21 polypeptide can include an amino-terminal methionine residue that can be introduced, if desired, by specific mutation or as a result of a bacterial expression process.

The truncated FGF21 polypeptides of the present invention can be prepared as described in the examples described herein. Those skilled in the art who are familiar with standard molecular biology techniques
In combination with the description herein, knowledge of making and using the truncated FGF21 polypeptides of the present invention can be used. Standard techniques can be used for recombinant DNA, oligonucleotide synthesis, tissue culture and transformation (eg, electroporation, lipofection). See, for example, Sambrook et al., Molecular Cloning: A Laboratory Manual, supra, which is incorporated herein by reference for all purposes. Enzymatic reactions and purification techniques can be performed according to the manufacturer's instructions, as generally accomplished in the art or as described herein. Except where specific definitions are provided, the nomenclature utilized in connection with the analytical chemistry, synthetic organic chemistry and pharmaceutical and medicinal chemistry laboratory processes and techniques described herein are: Well known and commonly used in the field. Standard technologies include chemical synthesis, chemical analysis, pharmaceuticals,
Formulation and delivery; and can be used for patient treatment.

A truncated FGF21 polypeptide of the invention can also be fused to another entity that can confer additional properties to the truncated FGF21 polypeptide. In one embodiment of the invention, the truncated FGF21 polypeptide can be fused to an IgG constant domain or a fragment thereof (eg, an Fc region), human serum albumin (HSA) or an albumin binding polypeptide. Such fusion can be accomplished using known molecular biology methods and / or guidance provided herein. The benefits of such fusion polypeptides as well as methods for making such fusion polypeptides are described in more detail herein.

FGF21 fusion protein As used herein, the term “FGF21 fusion polypeptide” or “FGF21 fusion protein” refers to the N-terminal or C-terminal end of any FGF21 protein variant described herein. Indicates the fusion of one or more amino acid residues (eg, heterologous proteins or peptides).

The FGF21 fusion protein is, for example, FGF21 as defined herein.
It can be produced by fusing heterologous sequences at either the N-terminus or C-terminus of the protein variant. As described herein, the heterologous sequence can be an amino acid sequence or a non-amino acid containing polymer. The heterologous sequence can be fused directly to the FGF21 protein variant or via a linker or adapter molecule. A linker or adapter molecule is one or more amino acid residues (or -mers), eg, 1, 2
3, 4, 5, 6, 7, 8 or 9 residues (or -mers), preferably 10 to 50 amino acid residues (or -mers), for example 10, 11, 12, 13, 14,
15, 16, 17, 18, 19, 20, 25, 30, 35, 40, 45 or 50 residues (or -mers), and more preferably 15 to 35 amino acid residues (or -mers) It can be. Linker or adapter molecules can also be designed with cleavage sites for DNA restriction endonucleases or proteases to allow separation of the fusion molecules.

Heterologous peptides and polypeptides include FGF21 protein variants; transmembrane receptor proteins or portions thereof, eg, extracellular or transmembrane and intracellular domains; ligands or portions thereof that bind to transmembrane receptor proteins; An active enzyme or portion thereof; a polypeptide or peptide that promotes oligomerization, such as a leucine zipper domain; a polypeptide or peptide that increases stability, such as an immunoglobulin constant region; a functional or non-functional antibody or a As well as epitopes that allow for the detection and / or isolation of polypeptides having different activity than the FGF21 protein variants of the invention, eg, therapeutic activity, such as, but not limited to. FGF21 mutants fused to human serum albumin (HSA) are also encompassed by the present invention.

a. Fc fusion

In one embodiment of the invention, the FGF21 protein variant is fused to one or more domains of the Fc region of human IgG. The antibody has two functionally dependent moieties, a variable domain known as “Fab” that binds to an antigen and an effector function, eg, a constant domain known as “Fc” that participates in complement activation and attacks by phagocytes including. Fc has a long serum half-life, while Fab has a short lifespan (Capon et al., 1989, Nature 337: 525-31).
When linked to a therapeutic protein, the Fc domain provides a longer half-life or can incorporate functions such as Fc receptor binding, protein A binding, complement binding and even placental passage ( Capon et al. 1989).

In the present specification, Fc-FGF21 indicates a fusion protein in which an Fc sequence is fused to the N-terminus of FGF21. Similarly, in the present specification, FGF21-Fc has the Fc sequence of FGF2
1 shows a fusion protein fused to the C-terminus of 1.

A preferred embodiment of the present invention is an Fc-FGF21 fusion protein comprising an FGF21 variant as defined herein. A particularly preferred embodiment is an Fc-FGF21 fusion protein comprising a modified Fc fragment (eg, FcLALA) and an FGF21 variant as defined herein.

The fusion protein can be purified, for example, by use of a protein A affinity column. It has been found that peptides and proteins fused to the Fc region exhibit substantially better in vivo half-life than their non-fused counterparts. Also, fusion to the Fc region allows for dimerization / multipolymerization of the fusion polypeptide. The Fc region may be a natural Fc region, and
It can be modified to improve certain qualities, such as therapeutic quality, circulation time or reduction in aggregation.

Useful modifications of protein therapeutics by fusion with the “Fc” domain of an antibody are described in detail in PCT Publication No. WO 00/024782. This document refers to “vehicle”.
Describe, for example, linkage to polyethylene glycol (PEG), dextran or Fc regions.

b. Fusion protein linker

A linker is not required when forming the fusion protein of the invention, but can be used. When present, the chemical structure of the linker may not be important as it acts primarily as a spacer. The linker can consist of amino acids linked together by peptide bonds. In some embodiments of the invention, the linker is linked by a peptide bond 1
The amino acid is selected from 20 natural amino acids. In various embodiments, the 1 to 20 amino acids are the amino acids glycine, serine, alanine,
Selected from proline, asparagine, glutamine and lysine. In some embodiments, the linker consists of a majority of amino acids without steric hindrance, such as glycine and alanine. In some embodiments, the linker is polyglycine, polyalanine, a combination of glycine and alanine (eg, poly (Gly-Ala)) or a combination of glycine and serine (eg, poly (Gly-Ser)). Although a 15 amino acid residue linker has been found to work particularly well for FGF21 fusion proteins, the present invention contemplates linkers of any length or composition.

The linkers described herein are typical, and linkers that include other residues longer are contemplated by the present invention. Non-peptide linkers are also contemplated by the present invention. For example, an alkyl linker can be used. These alkyl linkers include, but are not limited to, lower alkyl (eg C1-C6), lower acyl, halogen (eg Cl
, Br), CN, NH2 or phenyl can be further substituted. An exemplary non-peptide linker is a polyethylene glycol linker, which has a molecular weight of 100 to 5000 kD, such as 100 to 500 kD.

Chemically modified fusion protein

For example, chemically modified forms of the fusion proteins described herein, including truncated and mutant forms of the FGF21 fusions described herein, can be obtained from the descriptions described herein. In view of the above, it can be prepared by those skilled in the art. Such chemically modified fusion proteins are those in which the chemically modified mutant is either the unmodified mutant and the type or position of the molecule that is naturally associated with the mutant. Are modified differently. Chemically modified mutants can include molecules formed by the deletion of one or more naturally associated chemical groups.

In one embodiment, the proteins of the invention can be modified by covalent attachment of one or more polymers. For example, the polymer selected is generally water soluble so that the protein to which it is attached does not precipitate in an aqueous environment, such as a physiological environment. Included within the scope of suitable polymers are polymer blends. Preferably, the polymer is pharmaceutically acceptable for therapeutic use of the final product preparation. Water-insoluble polymers attached to the proteins of the present invention also form an aspect of the present invention.

Each typical polymer may be of any molecular weight and may be branched or unbranched. Each polymer generally has an average molecular weight of about 2 kDa to about 100 kDa (the term “about” is the weight of some molecules above and below the specified molecular weight in the preparation of water soluble polymers. Show). The average molecular weight of each polymer is preferably from about 5 kDa to about 50 kDa, more preferably from about 12 kDa to about 40 kDa, more preferably from about 20 kDa to about 35 kDa.

Suitable water soluble polymers or mixtures thereof include N-linked or O-linked carbohydrates, sugars,
Phosphoric acid, polyethylene glycol (PEG) (mono- (C1-C10), alkoxy-,
Or including aryloxy-polyethylene glycol, including forms of PEG used to derivatize proteins), monomethoxy-polyethylene glycol, dextran (eg, about 6 kD, eg, low molecular weight dextran), cellulose or others Carbohydrate based polymers, poly- (N-vinyl pyrrolidone) polyethylene glycol, propylene glycol homopolymers, polypropylene oxide / ethylene oxide copolymers, polyoxyethylated polyols (eg, glycerol) and polyvinyl alcohol. Bifunctional cross-linking molecules that can be used to prepare covalently linked FGF21 protein variant multimers are also encompassed by the present invention. FGF21 mutants covalently linked to polysialic acid are also encompassed by the present invention.

Polysaccharide polymers are another type of water-soluble polymer that can be used for protein modification. Accordingly, the fusion proteins of the present invention fused to a polysaccharide polymer form an aspect of the present invention. Dextran is a polysaccharide polymer consisting of individual subunits of glucose primarily linked by alpha 1-6 linkages. Dextran itself is available in a wide molecular weight range and is readily available at molecular weights of about 1 kD to about 70 kD. Dextran is a suitable water-soluble polymer for use with the vehicle itself or in combination with another vehicle (eg, Fc). For example, International Publication WO 96/119
See 53. The use of dextran bound to therapeutic or diagnostic immunoglobulin has been reported. See, for example, European Patent Publication No. 0 315 456, which is incorporated herein by reference. The present invention also includes the use of dextran from about 1 kD to about 20 kD.

In general, chemical modification can be performed under any suitable condition used to react proteins with activated polymer molecules. Methods for preparing chemically modified polypeptides generally include (a) activating a polypeptide molecule under conditions (e.g.,
Reactive ester or aldehyde derivative of the polymer molecule), thereby F
Including GF21 protein variants becoming bound to one or more polymer molecules and (b) obtaining a reaction product. Optimal reaction conditions are determined based on known parameters and the desired result. For example, the higher the ratio of polymer molecules to protein, the higher the percentage of polymer molecules that are bound. In one embodiment of the invention, a chemically modified FGF21 mutant can have a single polymer molecule moiety at the amino-terminus (see, eg, US Pat. No. 5,234,784).

In another aspect of the invention, the protein of the invention can be chemically conjugated with biotin. The biotin / protein of the present invention can then bind to avidin, resulting in the tetravalent avidin / biotin / protein of the present invention. The protein of the present invention is also covalently bound to dinitrophenol (DNP) or trinitrophenol (TNP) and the resulting complex is precipitated with anti-DNP or anti-TNP-IgM and 10 valences. A monomer complex can be formed.

In general, conditions that can be alleviated or regulated by administration of a chemically modified FGF21 mutant of the present invention include those described herein for the protein of the present invention. However, the chemically modified FGF21 mutants described herein may have additional activity, enhanced or decreased biological activity, or other properties compared to the unmodified FGF21 mutant. It may have properties, such as increased or decreased half-life.

Therapeutic compositions of fusion proteins and their administration The present invention may also be carried out in a mixture with a pharmaceutically or physiologically acceptable formulation or pharmaceutically acceptable carrier selected for compatibility with the mode of administration. Provided are therapeutic compositions comprising one or more of the fusion proteins of the invention described herein. The composition is specifically contemplated in the light of, for example, the identification of fusion proteins that exhibit enhanced properties.

In some embodiments, the therapeutic composition is manufactured for injection either as a liquid solution or suspension; prior to injection, a solid form suitable for solution or suspension in a liquid vehicle is also present. Can be manufactured. Liposomes are included in the definition of a pharmaceutically acceptable carrier. Pharmaceutically acceptable salts such as mineral salts such as hydrochloride, hydrobromide, phosphate, sulfate and the like; and organic acid salts such as acetate, propionate, malonic acid Salts, benzoate salts, and the like can also be present in the pharmaceutical composition. A thorough discussion of pharmaceutically acceptable excipients can be found in Remington: The Science and Practice of Pharmacy (1995) A
Available at lfonso Gennaro, Lippincott, Williams, & Wilkins.

Acceptable formulations are preferably non-toxic to recipients at the dosages and concentrations used.

A pharmaceutical composition modifies, maintains or preserves, for example, the pH, permeability, viscosity, clarity, color, isotonicity, odor, sterility, stability, degradation or release rate, adsorptivity or penetration of the composition. Formulation materials for can be included. Suitable formulation materials include, but are not limited to, amino acids (eg, glycine, glutamine, asparagine, arginine or lysine), antibacterial agents, antioxidants (eg, ascorbic acid, sodium sulfate or sodium bisulfite), buffers (eg, Boric acid, bicarbonate, Tris-HCl, citric acid, phosphoric acid or other organic acids)
Bulking agents (eg mannitol or glycine), chelating agents (eg ethylenediaminetetraacetic acid (EDTA)), complexing agents (eg caffeine, polyvinylpyrrolidone, beta-cyclodextrin or hydroxypropyl-beta-cyclodextrin) ,
Bulking agents, monosaccharides, disaccharides and other carbohydrates (eg glucose, mannose or dextrin), proteins (eg serum albumin, gelatin or immunoglobulin)
, Colorants, flavors and excipients, emulsifiers, hydrophilic polymers (eg, polyvinylpyrrolidone), low molecular weight polypeptides, salt-forming counterions (eg, sodium), preservatives (eg, benzalkonium chloride, benzoic acid) , Salicylic acid, thimerosal, phenethyl alcohol, methyl paraben, propyl paraben, chlorhexidine, sorbic acid or hydrogen peroxide), solvent (eg glycerin, propylene glycol or polyethylene glycol)
Sugar alcohols (eg mannitol or sorbitol), suspending agents, surfactants or wetting agents (eg pluronic; PEG; sorbitan esters; polysorbates such as polysorbate 20 or polysorbate 80; tritons; tromethamine; lecithin; cholesterol or tyloxapearl (Tyloxapal)), stability enhancers (eg sucrose or sorbitol), tonicity enhancers (eg alkyl metal halides; preferably sodium chloride or potassium; or mannitol sorbitol), delivery vehicles, diluents, Excipients and / or pharmaceutical adjuvants (eg Remingto
n's Pharmaceutical Sciences (18th Ed., AR Gennaro, ed., Mack Publishing Compa
ny 1990), and subsequent versions thereof, references, incorporated herein by reference for all purposes).

The optimal pharmaceutical composition will be determined by one skilled in the art depending upon, for example, the intended route of administration, delivery format and desired dosage (see, eg, Remington's Pharmaceutical Sciences, supra). Such compositions can affect the physical state, stability, in vivo release rate, and in vivo clearance rate of the fusion proteins of the invention.

The main vehicle or carrier in the pharmaceutical composition may in fact be either aqueous or non-aqueous. For example, a suitable vehicle or carrier for injection can be water, saline solution or artificial cerebrospinal fluid, possibly supplemented with other substances commonly found in compositions for parenteral administration. Neutral buffered saline or saline mixed with serum albumin is a further typical vehicle. Other exemplary pharmaceutical compositions are about pH 7.0-8.5 Tris buffer or about pH 4.0-5.5, which can further comprise sorbitol or a suitable alternative.
Of acetate buffer. In one embodiment of the invention, the dual function pharmaceutical composition is prepared by mixing a selected composition having the desired degree of purity with any formulation in the form of a lyophilized cake or aqueous solution (Remington's Pharmaceutical Sciences, above)
Can be prepared for storage. In addition, the dual functional protein product can be formulated as a lyophilizate using appropriate excipients such as sucrose.

A pharmaceutical composition comprising the fusion protein of the invention can be selected for parenteral administration. Alternatively, the composition can be selected for inhalation or delivery via the gastrointestinal tract, eg, oral. The preparation of such pharmaceutically acceptable compositions is within the skill of the art.

The formulation components are present in concentrations that are acceptable at the site of administration. For example, the buffer is used to maintain the composition at a physiological pH or slightly lower pH, generally within a pH range of about 5 to about 8.

When parenteral administration is considered, a therapeutic composition for use in the present invention comprises a pyrogen-free parenterally acceptable aqueous solution containing the desired dual functional protein in a pharmaceutically acceptable vehicle. It can be in form. A particularly suitable vehicle for parenteral injection is
Sterile distilled water formulated as a sterile isotonic solution in which the dual functional protein is properly stored. Yet another preparation is a formulation of a desired molecule with a drug that provides controlled or sustained release of the product delivered via depot injection, eg, injectable microspheres, biodegradable particles, polymeric compounds (Eg, polylactic acid or polyglycolic acid), beads or liposomes. Hyaluronic acid can also be used,
Can have the effect of increasing the duration of the circulation. Other suitable means for introduction of the desired molecule include implantable drug delivery devices.

In one embodiment, the pharmaceutical composition can be formulated for inhalation. For example,
The dual functional protein of the present invention can be formulated as a dry powder for inhalation. Dual functional protein inhalation solutions can also be formulated with high pressure gas for aerosol delivery. In yet another embodiment, the solution can be nebulized. Pulmonary administration is international publication WO 94/20 describing pulmonary delivery of chemically modified proteins.
069.

It is also contemplated that certain formulations can be administered orally. In one embodiment of the invention, the fusion protein of the invention administered in this manner may be formulated with or without a carrier customarily used in the synthesis of solid dosage forms, such as tablets and capsules. it can. For example, capsules can be designed to release the active portion of the formulation to the gastrointestinal tract when maximizing bioavailability and minimizing pre-systemic degradation. Additional agents can be included to facilitate absorption of the fusion proteins of the invention. Diluents, flavorings, low melting point waxes, vegetable oils, lubricants, suspending agents, tablet disintegrating agents, and binders can also be used.

Another pharmaceutical composition can contain an effective amount of a fusion protein of the invention in a mixture with non-toxic excipients that are suitable for the manufacture of tablets. Solutions can be prepared in unit dosage form by dissolving the tablets in sterile water or another suitable vehicle. Suitable excipients are inert diluents such as calcium carbonate, carbonate or sodium bicarbonate, lactose or calcium phosphate; or binders such as starch, gelatin or acacia; or lubricants such as magnesium stearate, stearic acid Or including but not limited to talc.

Additional pharmaceutical compositions comprising the fusion protein of the invention will be apparent to those skilled in the art, including formulations comprising the fusion protein of the invention in sustained or controlled delivery formulations. Techniques for formulating various other sustained or controlled delivery means such as liposomal carriers, biodegradable microparticles or porous beads and depot injections are also known to those skilled in the art (eg, pharmaceutical compositions). International publication WO describing controlled release of porous polymeric microparticles for delivery of drugs
93/15722, and Wischk describing microsphere / microparticle preparation and use
e & Schwendeman, 2008, Int. J Pharm. 364: 298-327, and Freiberg & Zhu, 2004, I
nt. J Pharm. 282: 1-18).

Further examples of sustained release preparations are semipermeable polymer matrices in the form of shaped articles,
For example, a film or a microcapsule is included. Sustained release matrices include polyesters, hydrogels, polylactides (US Pat. No. 3,773,919 and European Patent No. 0).
058 481), copolymers of L-glutamic acid and gammaethyl-L-glutamic acid (Sidman et al. 1983, Biopolymers 22: 547-56), poly (2-hydroxyethyl methacrylate) (Langer et al. 1981, J. Biomed. Mater. Res. 15: 167-277 and Langer, 1982, C
hem. Tech. 12: 98-105), ethylene vinyl acetate (Langer et al., supra) or poly-D-3.
-Hydroxybutyric acid (European Patent No. 0 133 988) may be included. Sustained release compositions can also include liposomes that can be prepared by any of several methods known in the art. For example, Epstein et al. 1985, Proc. Natl. Acad. Sci. U
. SA 82: 3688-92; and European Patents 0 036 676, 0 088 046 and 0 143 949.

The pharmaceutical composition of the invention used for in vivo administration should generally be sterile. This can be accomplished by filtration through a sterile filtration membrane. When the composition is lyophilized, sterilization using this method can be performed either before or after lyophilization and reconstitution. Compositions for parenteral administration can be stored in lyophilized form or in solution. In addition, parenteral compositions are typically placed in a container, such as an intravenous solution bag or vial, having a sterile inspection port with a stopper that can be penetrated by a hypodermic needle.

Once the pharmaceutical composition is formulated, it can be stored in sterile vials as a solution, suspension, gel, emulsion, solid, or anhydrous or lyophilized powder. Such formulations can be stored either in a ready-to-use form or in a form that needs to be reconstituted prior to administration (eg, lyophilized form).

In certain embodiments, the present invention is a kit for producing a single dosage unit. The kits each include both a first container having a dry protein and a second container having an aqueous formulation. Kits including single and multi-chamber filled syringes (eg, liquid syringes and lyosyringe) are also within the scope of the present invention.

The dose of the fusion protein and its administration The effective amount of the pharmaceutical composition of the present invention used for treatment depends, for example, on the treatment situation and purpose. Those skilled in the art will therefore be able to determine the appropriate dosage level for treatment, in part, the molecule to be delivered, the indication for which the fusion protein variant will be used, the route of administration, and the patient size (weight, body surface or organ size). ) And condition (age and general health). Thus, the clinician can titrate the dose and modify the route of administration to obtain the optimal therapeutic effect. A typical dose will be about 0.00, depending on the above factors.
It can range from 1 μg / kg up to about 100 mg / kg or more. In other embodiments, the dose can range from 0.1 μg / kg up to about 100 mg / kg; or 1 μg / kg up to about 100 mg / kg.

The frequency of administration will depend on the pharmacokinetic parameters of the dual functional protein in the formulation used. Generally, the clinician will administer the composition until a dosage is reached that achieves the desired effect. Thus, the composition can be administered as a single dose, as two or more doses over time (which may or may not include the same amount of the desired molecule), or continuously via an implantation device or catheter. As an infusion, it can be administered. Further improvements in the appropriate dose are routinely performed by those skilled in the art and are within the scope of activities routinely performed by those skilled in the art. Appropriate doses can be ascertained through use of appropriate dose-response data.

The route of administration of the pharmaceutical composition is in accordance with known methods, for example, oral; injection by intravenous, intraperitoneal, intracerebral (intraparenchymal), intraventricular, intramuscular, intraarterial, intraportal or intralesional route. Via a sustained release system (which can also be injected); or by an implantation device. If desired, the composition can be administered by bolus injection or by continuous infusion or by implantation device.

Alternatively or additionally, the composition can be administered locally via implantation of a membrane, sponge or other suitable substance in which the desired molecule is absorbed or encapsulated. When using an implantation device, the device can be implanted in any suitable tissue or organ, and delivery of the desired molecule can be delivery via diffusion, timed release bolus or continuous administration.

Therapeutic uses of fusion proteins The proteins of the invention can be used to treat, diagnose, ameliorate or prevent a number of diseases, disorders or conditions, including but not limited to metabolic disorders. In one embodiment,
The metabolic disorder to be treated is diabetes, for example type 2 diabetes. In another embodiment, the metabolic disorder is obesity. Other aspects include metabolic conditions or disorders such as type 1 diabetes, pancreatitis, dyslipidemia, nonalcoholic fatty liver disease (NAFLD), nonalcoholic steatohepatitis (NASH)
), Insulin resistance, hyperinsulinemia, impaired glucose tolerance, hyperglycemia, metabolic syndrome, hypertension, cardiovascular disease, acute myocardial infarction, atherosclerosis, peripheral arterial disease,
Includes stroke, heart failure, coronary heart disease, kidney disease, diabetic complications, neuropathies, disorders associated with severe inactivating mutations in insulin receptors, gastric failure paralysis and other metabolic disorders.

In application, a disorder or condition, such as type 1 or type 2 diabetes or obesity, can be treated by administering to a patient in need thereof a FGF21 protein variant described herein in a therapeutically effective dose. . Administration can be carried out orally as described herein, for example, in the form of IV injections, intraperitoneal injections, intramuscular injections or tablets or liquid formulations. In many cases, the desired dose can be determined by a clinician as described herein, and can indicate a therapeutically effective dose of the FGF21 mutant polypeptide. A therapeutically effective dose of an FGF21 mutant polypeptide includes, inter alia, an administration schedule, a dosage unit of the antigen to be administered, whether the nucleic acid molecule or polypeptide is administered in combination with other therapeutic agents, the recipient's immune status It will be apparent to those skilled in the art that it depends on the health status. The term “therapeutically effective dose” as used herein refers to an organism in a tissue system, animal or human that is sought by a researcher, physician or other clinician, including alleviation of symptoms of the disease or disorder being treated. That cause a pharmacological or medical response
Refers to the amount of F21 mutant polypeptide.

The invention has now been described in detail, which will be more clearly understood by reference to the following examples, which are included herein for purposes of illustration only, and are intended to Not intended to be limited.

The practice of the present invention, unless otherwise stated, is within the chemistry, biochemistry, molecular biology,
Conventional methods of immunology and pharmacology are used. Such techniques are explained fully in the literature. For example, Remington's Pharmaceutical Sciences, 18th Edition (Easton, Penns
ylvania: Mack Publishing Company, 1990); Methods In Enzymology (S. Colowick and
N. Kaplan, eds., Academic Press, Inc.); and Handbook of Experimental Immunolog
y, Vols.I IV (DM Weir and CC Blackwell, eds., 1986, Blackwell Scientific Pu
blications); and Sambrook et al. Molecular Cloning: A Laboratory Manual (2nd Editio
n, 1989).

Example 1: Preparation of FGF21 mutant protein Expression constructs for FGF21 V76: The FGF21 mutant was prepared as described in Achmuller et al. (2007) (Na
ture Methods 4: 1037-1043) modified E. coli expression vector pET30
Cloning into a produced an in-frame fusion of the FGF21 N-terminus (aa 33-209) with a hexa-histidine tag followed by an N ^pro -EDDIE tag.

Expression and purification of FGF21 V76: pET30a-His-N ^pro -EDDIE-
FGF21 expression plasmid was transformed into E. coli BL21 Star (DE3) competent cells (I
nvitrogen). Overnight culture of a single colony of newly transformed cells
50 mL Terrific Broth (50 μg / mL kanamycin at 7 ° C.)
TB). Transfer preculture to 1 L TB medium with kanamycin, 250 rpm
In a baffled flask at 37 ° C. with shaking. After culturing for 6 hours, the expression of FGF21 was induced by the addition of IPTG at a final concentration of 1 mM and the culture was cultured overnight at 37 ° C. Cells are then harvested and 50 mL of ice-cold lysis buffer; 50 mM Tris-HCl
, PH 8, 150 mM NaCl, 1 mM EDTA, then microfl
Dissolved using uidizer ^™ .

Inclusion bodies (IB) were precipitated by centrifugation at 30,000 × g for 1 hour at 4 ° C. IB
Is washed with 50 mM Tris-HCl, pH 8, 150 mM NaCl, then 30 m
L lysis buffer; 10 mM Tris-HCl, pH 8, 100 mM NaH ₂ PO
_4. Dissolved in 6M GnHCl. Dissolved IB was 30,000 × 1 hour at 25 ° C.
clarified by centrifugation at g. IB solution was equilibrated with lysis buffer Ni-NTA
Loaded onto a 5 mL column of high performance resin (GE Healthcare). Protein bound to the resin was eluted by lowering to pH 4.5. The eluate was adjusted by adjusting pH and adding dithiothreitol (DTT) at a concentration of 20 mM. The adjusted eluate was diluted with 1 L of refolding buffer; 50 mM Tris-HCl, pH 8,
Slowly diluted in 0.5 M arginine, 20 mM DTT, then incubated at 4 ° C. for 2 days. The diluted sample is concentrated and 20 mM T using an ultrafiltration method.
The buffer was exchanged to ris-HCl, pH 9. The concentrated sample was added to 20 mM Tri
10 of Q Sepharose Fast Flow Resin (GE Healthcare) equilibrated with HCl (pH 9)
Loaded the mL column.

After washing the resin with the equilibration buffer, the protein bound to the resin was washed with 20 mM Tris-
Elution with HCl, pH 9, 500 mM NaCl. Refolded FGF2
To remove the His-N ^pro fusion fragment cleaved from one protein and any uncleaved fusion protein, the eluate was diluted with 20 mM Tris, pH 8.0,
A 5 mL column of Ni-NTA high performance resin equilibrated with 50 mM imidazole was loaded and the flow-through fraction containing FGF21 was collected. To reduce endotoxin levels, the FGF21 fraction was added to 10 mM Tris, pH 8, 50 mM imidazole, 50 mM.
EndoTrap HD resin equilibrated with 0 mM NaCl, 1 mM CaCl ₂ (Hy
glos). The low endotoxin sample is dialyzed against PBS and then 0.22
Sterilized with a μm filter. Purified FGF21 protein was snap frozen in liquid nitrogen and stored at -80 ° C. Protein concentration was determined by absorbance at 280 nm using 9362 M-1 cm-1 as the molar extinction coefficient for FGF21. Protein purity and integrity were determined by HPLC, SDS-PAGE and liquid chromatography-mass spectrometry.

Cysteine PEGylation of FGF21 mutants: FGF21 mutant V76 (R154C) mutants have a tendency to dimerize via engineered cysteines; 5 mg / ml in buffer) was gently reduced with 5 mM mercaptoethylamine for 30 min on ice and immediately desalted with 20 mM Tris, pH 7. The newly reduced protein (generally 3 mg / ml) is then added to 1.5 equivalents of 40 kDa branched maleimide-PEG reagent (Sunbright for 3 hours on ice.
PEGylated immediately with t series NOF catalog # GL2-400MA). Finally, the PEGylated protein was purified by anion exchange chromatography (Mono) with a total yield of about 25%.
Purified by Q).

Expression construct for Fc-FGF21 fusion mutant: cDNA for human FGF21 mutant encoding amino acids 33-209, a leader peptide (immunoglobulin kappa chain) directed to protein secretion, followed by an N containing the Fc domain and a short linker -Downstream of the mammalian expression vector of the cytomegalovirus (CMV) promoter with terminal sequences,
Cloned in-frame.

Expression and purification of Fc-FGF21 variants: Fc-FGF21
Mutant proteins were expressed in HEK293T cells (American Type Culture Collection). Cells are frozen until the day of transfection.
37 ° C. in 293 expression medium (Invitrogen, catalog # 12338-018)
And cultured in suspension culture at 8% CO ₂ . Swinging bucket rotor (s
The mixture was centrifuged at 1000 xg for 7 minutes in a winging bucket rotor) and counted using an automatic cell counter. Cells are 1.4 × 10 4 in 900 ml Freestyle 293 medium
Dilute to a final concentration of ⁶ cells / mL and place in a 3L non-baffled flask (Corning, catalog # 431252). Cells were transfected using a mixture of polyethyleneimine (PEI) and plasmid as follows. 3 ml of sterile 1 mg / mL
Stock linear, M.M. W. 25,000, PEI (Alfa Aes
ar, catalog # 43896) to 50 ml of Freestyle 293 medium,
Mix gently and incubate at 25 ° C. for 5 minutes. At the same time, 1 mg endotoxin-free plasmid was added to 50 mL Freestyle 293 medium and 0.22 u
Sterile filtration using an M filter. The PEI mixture was then added to sterile filtered DNA, mixed gently and incubated at 25 ° C. for 10 minutes. The PEI-plasmid mixture is then added to a 3 L flask containing diluted HEK293T cells and 125 RPM, 3
Placed in a shaking incubator at 7 ° C. with 8% CO ₂ .

On day 6 after transfection, the cells were centrifuged at 2000 xg for 10 minutes and the supernatant was collected. The supernatant was further clarified by filtration through a 0.8 / 0.2 uM filter (Pall Corporation, catalog # 4628).

Batch purification of FGF21 protein was performed using 1 ml of recombinant protein A sepharose fast flow (GE, catalog # 17-51 per 20 mg of predicted protein to be purified.
38-03) was added directly to the clarified supernatant and incubated for 1 hour at 4 ° C with gentle rotation. The supernatant mixture was then poured onto a disposable Poly-Prep chromatography column (Bio-Rad, catalog # 731-1550) and the flow through was discarded. The retained beads were added to 5 column volumes of DPBS, pH 7.4.
Washed with (Invitrogen, catalog # 14190-144). Protein A
Protein elution from the beads was performed by adding 20 column volumes of 50 mM sodium citrate buffer, pH 3.0. Elution buffer was diluted with 20% Tris-
Neutralized by addition of HCL buffer, pH 9.0.
Size exclusion chromatography uses a high load 26/600 Super as a secondary polishing step for the purified Protein A batch.
This was done by flowing through a dex 200 pg column (GE, catalog # 28-9893-36). The purified protein yield was quantified by A280. SDS-Page was performed to confirm purity and molecular weight. Endotoxin levels
Quantification was performed by using a PTS system (Charles River Labs).

Example 2: FGF21-dependent 2-deoxyglucose (2-DOG) uptake measurement FGF21 stimulates glucose uptake in mouse 3T3-L1 adipocytes in the presence and absence of insulin, and ob / ob and db / db It has been shown to reduce food and fasting blood glucose, triglyceride and glucagon levels in mice and 8-week-old ZDF rats in a dose-dependent manner, thus providing the basis for the use of FGF21 as a therapy to treat diabetes and obesity (For example, Patent Publication WO03 / 0112
13, and Kharitonenkov et al., (2005) Jour. Of Clinical Invest. 115 : 1627-1635). FGF21 is also FGFR-1 and FGFR- in 3T3-L1 adipocytes.
2 was observed to stimulate tyrosine phosphorylation.

3T3-L1 fibroblasts were purchased from ATCC (Catalog # CL173). The cells were grown to confluency in a 150 cm Petri dish and DMEM with high glucose supplemented with 10% fetal bovine serum and 1% penicillin-streptomycin (
Invitrogen catalog # 11995065) was maintained for an additional 4 days. The cells are then treated with 4 μg / ml insulin (Sigma, catalog # I-550
0), 115 μg / ml IBMX (Sigma, catalog # I5879) and 0
. Differentiation was performed in the above medium supplemented with 0975 μg / ml dexamethasone (Sigma, catalog # D1756) for 3 days, after which the differentiation medium was replaced with complete DMEM. One plate of differentiated 3T3-L1 adipocytes was seeded on four 96-well plates the day after media replacement.

Adipocytes were then treated with FGF21-WT and FGF21 mutant proteins overnight in complete medium (see Table 2 for a list of mutants; 30 pM to 100 nM is a typical concentration range used). Adipocytes treated with the FGF21 sample received 50 μl of KRH buffer (0.75% NaCl; 0.038% KCl; 0
. 0196% CaCl ₂ ; 0.032% MgSO ₄ ; 0.025 M HEPES, p
H7.5; 0.5% BSA; 2 mM sodium pyruvate) for 2 hours. To the wells for blanks, 1 μl (final concentration 5 μg / ml) cytochalasin B was added for 15 minutes. [3H] -2-DOG (20.6 mCi / mmoL, 1 mCi / m
L) was diluted 1:20 in 5.1 mM cold 2-DOG, 1 μl of diluted 2-DOG was added per well and the cells were incubated for 5 minutes. Cells at 100 μl / well KR
Washed 3 times with H buffer. 40 μl / well of 1% SDS was added to the cells and the cells were shaken for at least 10 minutes. 200 μl / well scintillation liquid was added and the plate was shaken overnight and read on a beta-microplate reader. Values obtained from all columns / rows treated with cytochalasin B were averaged and subtracted from all other values. Grap the data
Analyzed by hPad prism software, the results are summarized in Table 2. Fc-F
The GF21 fusion mutants V101, V103, and V188 are superior to the PEGylated FGF21 mutant V76 for induction of 2-deoxyglucose uptake by mouse 3T3L1 adipocytes.

Example 3: pERK in Cell Western (ICW) Assay
HEK293 cells stably transfected with human β-Klotho were cultured in DMEM high glucose, 10% FBS, 1% PS and 600 ng / ml G418 and overnight at 30,000 cells per well. Seeded in poly-D-lysine coated 96-well plates (BD bioscience, catalog # 356640). Cells were serum starved for 4 hours in DMEM high glucose, 0.5% BSA, and 10 mM HEPES. WT
FGF21 and FGF21 variants (see Table 3 for a list of variants) were diluted to various concentrations in the starvation medium (100 pM to 300 nM is a typical concentration range used). Cells were stimulated with FGF21 for 10 minutes. After FGF21 or FGF21 mutant protein stimulation, the medium is aspirated from the wells and the cells are washed once with 100 μl cold PBS and then fixed with 100 μL 4% formaldehyde for 15 minutes at room temperature and then 100 μl
Incubated with l ice-cold methanol for an additional 10 minutes.

After fixation, the cells were washed 4 times with 0.3% Triton X-100 in PBS for 5 minutes each. 150 μl of Odyssey Blocking buffer was added at room temperature for 1.5 hours,
Added to permeabilized cells. Phospho-ERK (pERK) antibody is diluted to a concentration of 0.17 μg / ml (1: 200 dilution, or indicated dilution) and total-ERK (tERK) antibody is
A concentration of 2.2 μg / ml in dyssey Blocking buffer (1: 2
00 dilution or indicated dilution). 50 μl was added to all wells not including one column that was only treated with a secondary antibody that was normalized for background. Plates were covered with a wet paper tower, capped to prevent evaporation, and then incubated overnight at 4 ° C.

The primary antibody was then aspirated and the cells were washed 4 times with 0.3% Tween 20 in PBS,
Each was washed for 5 minutes. During washing, the secondary antibody reaction mixture is mixed with Odyssey containing 1: 1000-diluted (or dilution shown) goat anti-mouse Alexa 680 and 1: 1000-dilution (or dilution shown) IRDye800 goat anti-rabbit antibody. Blocki
Prepared in ng buffer. When washing was complete, 40 μL of reaction mixture was added to each well. The plate was covered with a black lid to protect the secondary antibody from light and the plate was incubated on a shaker at room temperature for 1 hour. Finally, the cells are washed again 4 times for 5 minutes each with 0.3% Tween 20 in PBS, then 700 nm (red) and 800 nm
(Green) LI-COR Bioscience Odyssey In in the channel
Scanned with a frared imaging system (Li-Cor Biosciences, Lincoln, NE). Alexa 680 stained tERK with near-infrared fluorescence (emission wavelength 668 nm), while IRDye800 stained pERK with green fluorescence (emission wavelength 800 nm). To remove the fluorescent background, the values obtained from the entire plate / column treated with secondary antibody alone were averaged and subtracted from all other values obtained from the plate. To normalize the amount of pERK present in each sample, the value for pERK in each well was divided by the value of tERK. Data was analyzed by GraphPad Prism software and the results are summarized in a table. Fc-FGF21 fusion mutant V101, V103
And V188 are PEGylated FGF21 mutant V76 in the ERK phosphorylation assay.
Better.

Example 4: In vivo testing of FGF21 mutants Ob / ob mice are a mouse model of type 2 diabetes. The mice lack functional leptin and are characterized by hyperglycemia, insulin resistance, bulimia, liver steatosis and obesity. Male ob / ob mice (10-13 weeks of age) were used, and the effects of PEGylated FGF21 mutant V76 and Fc-FGF21 fusion mutants V101, V103 and V188 on blood glucose were evaluated.

FGF21 mutant or PBS vehicle twice a week for 12 days (4 doses in total)
At 1 mg / kg s. c. Administration (V101, V103 and V188), or V76
At 5 mg / kg s. c. On the first day of the study, tail blood glucose and body weight were measured and mice were allocated to different groups (n = 8 per group) with mean glucose and body weight combined between groups. Blood glucose was measured using a glucometer (OneTouch). Plasma insulin was measured on day 1 before dosing and on day 12 24 hours after the last dose. The results of these tests are summarized in Table 5.

The results of these tests are summarized in Table 3 and Figures 1-3. Fc-FGF2
The one fusion variants V101, V103 and V188 are superior to the pegylated FGF21 variant V76 at all endpoints measured in these studies at a 5-fold lower dose.

Example 5: Pharmacokinetics of FGF21 fusion mutants in mice To determine the pharmacokinetic profile of Fc-FGF21 fusion mutants V101, V103 and V188, C57BL / 6J mice were injected IV with 1 mg / kg of test substance. Blood was collected at various time points for 16 days (384 hours). Blood samples were collected from either the submandibular gland or retroorbital venous plexus into EDTA coated microtainer tubes. About 5
0 μL of blood was collected at each time point to obtain ˜25 μL of plasma.

To measure plasma concentrations of test substances by ELISA, 384-well plates were washed overnight at room temperature (RT) with 2 μg / mL anti-human Fc-gamma goat polyclonal antibody (30 μm).
L / well) and then blocked with casein-based diluent for 2 hours at RT (1
00 μL / well). Dilute samples, standards and controls on plates (30μ
L / well) and incubated for 2 hours at RT. After removing the sample, the wells were washed 3 times with phosphate-based wash solution (100 μL / well). Detection antibody, an HRP-labeled version of the capture antibody, was added to the plate and incubated for 1 hour at RT (30 μL / well). Plates were washed with phosphate-based wash solution (100 μL /
After 3 washes again in wells, chemiluminescent substrate was added (30 μL / well) and plate luminescence was read using an appropriate plate reader within 5 minutes. As shown in FIGS. 4A and 4B, the Fc-FGF21 fusion mutant is compared to the Fc-FGF21 fusion known in the art (FIG. 4A) and compared to the pegylated FGF21 mutant V76 (FIG. 4B). Had a very prolonged plasma half-life.

To ensure that a full length Fc-FGF21 variant, not just Fc, was detected in the ELISA, serum levels of the Fc-FGF21 test substance were verified by Western blot for comparison with levels measured by ELISA. 2 uL of mouse serum
Mix with 5 uL 4X loading buffer, 1 uL 10X denaturant and 4 uL dH ₂ O, heat to 95 ° C. for 5 minutes, load onto 4-12% gradient polyacrylamide gel,
Electrophoresis was performed at 00 volts (constant voltage) for 1 hour. iBlot system (Invitroge
n, catalog # IB1001, 7 minutes run time), samples were transferred to nitrocellulose filter paper. Nitrocellulose filter
Block with 30 ml Rockland blocking solution (Catalog # MB-070) and goat anti-FG at 1: 2000 dilution after Snap iBlot system protocol
Probed with F21 primary antibody (R & D systems, catalog # BAF2539) and streptavidin as secondary at 1: 10000 dilution (Licor, catalog)
# 926-68031). Protein level at 700 nm Li
It was imaged on a cor Odyssey system and compared to 2 nM control V101 run on the same gel. As shown in FIG. 4C, full-length Fc-FGF21 variant V
101, V103 and V188 can be detected from mouse sera from pharmacokinetic studies using Western blot using anti-FGF21 antibody for 15 days.

Example 6: Fc-FGF21 fusion mutants V101, V103 and V188 are very thermodynamically stable Proteins can be unfolded over a specific temperature range. Protein unfolding temperature is an intrinsic parameter to explain the thermal stability of the protein. Differential scanning calorimetry (DSC) is used to detect the protein unfolding temperature. The characteristic temperature is called the melting temperature (Tm), which is the peak temperature during protein unfolding.

The original protein sample was ˜1 mg / PBS in PBS for a total volume of 0.5 ml.
Dilute to a concentration of ml (0.5 mg / ml to 1.2 mg / ml). 0.4 per well
Protein samples diluted in ml aliquots, standards, PBS, and DI water
Add to DSC 96-well plate. Next, the plate is covered with a seal. Samples were analyzed in a MicroCal 96 well differential scanning calorimeter. The temperature was scanned from 10-110 ° C. at a rate of 1 ° C. per minute.

As shown in FIG. 4D, the melting temperatures of FGF21 mutants V101, V103 and V188 are very high. This is in contrast to the very low melting temperature of FGF21 mutant V76 and wild type FGF21 (not shown). We believe that the improved stability of V101, V103 and V188 is due to the specific addition of a second disulfide bond from the novel Q55C and G148C mutations. This type of thermodynamic stability is known to protect proteins from proteolysis and, in addition, significantly long-term stability and improved in vivo exemplified by the data in FIGS. 4B and 4C. Can lead to a pharmacokinetic profile.
The present invention provides the following .
[ A ] A fusion protein comprising an FGF21 variant and an Fc region.
[ B ] The fusion protein according to [ A ], wherein the protein sequence is selected from the sequences listed in Table 1.
[1] A fusion protein comprising an FGF21 variant and an Fc region, wherein the FGF variant is Q55C, R105K, G148C, K150R, P158S, S195A, P199G and G202A with respect to the full-length hFGF21 sequence of SEQ ID NO: 1. A fusion protein containing a mutation.
[2] A fusion protein comprising an FGF21 variant and an Fc region, wherein the fusion protein comprises the amino acid sequence of SEQ ID NO: 11.
[3] The fusion protein according to [1], wherein the FGF21 mutant is fused to the Fc region via a GS linker.
[4] The fusion protein according to [1], wherein the Fc region is an Fc fragment modified with a LALA mutation.
[5] and Gln55Cys, Cys103, Cys121, Gly148Cys, Asn149Cys, Lys150Cys, Ser141Cys, Pro152Cys, His153Cys, Arg154Cys, Asp155Cys, Pro156Cys, Ala157Cys, Pro158Cys, Arg159Cys, Gly160Cys, Pro161Cys, 1 Tsuniokeru cysteine residues of Ala162Cys and Arg163Cys The fusion protein of [1], comprising at least one engineered disulfide bond between
[6] and Gly148Cys, Cys103, Cys121, Arg47Cys, Tyr48Cys, Leu49Cys, Tyr50Cys, Thr51Cys, Asp52Cys, Asp53Cys, Ala54Cys, Gln55Cys, Gln56Cys, Thr57Cys, Glu58Cys, Gly160Cys, Pro161Cys, Ala162Cys, 1 Tsuniokeru cysteine of Arg163Cys and Phe164Cys The fusion protein of [1], comprising at least one engineered disulfide bond between the residues.
[7] The fusion protein according to [6], further enhanced with an engineered disulfide bond Gln55Cys-Gly148Cys.
[8] The fusion protein according to [1], wherein the fusion protein comprises the amino acid sequence of SEQ ID NO: 12.
[9] The fusion protein according to [1], wherein the FGF21 variant contains a disulfide bond between C103 and C121 (where the amino acid position means the amino acid position of the full-length hFGF21 sequence of SEQ ID NO: 1) To do).
[10] The fusion protein according to [1], wherein the Fc region is bound to the FGF21 mutant via a linker.
[11] The fusion protein according to [10], wherein the linker is 1 to 20 amino acids in length.
[12] The fusion protein according to [10] or [11], wherein the linker includes glycine and serine residues.
[13] The fusion protein according to [1], [3], [10], [11] or [12], wherein the Fc region of the fusion protein is a modified Fc fragment.
[14] A pharmaceutical composition comprising the fusion protein according to any one of [1] to [13] and a pharmaceutically acceptable carrier.
[15] Reduced blood glucose, decreased insulin levels, decreased triglyceride levels, decreased cholesterol levels, decreased liver lipid levels, decreased liver triglyceride levels, decreased body weight, improved glucose tolerance, and improved insulin sensitivity in patients The pharmaceutical composition according to [14], for use in achieving one or more biological activities selected from the group consisting of:
[16] The patient has obesity, type 1 and type 2 diabetes, insulin resistance, hyperinsulinemia, impaired glucose tolerance, hyperglycemia, metabolic syndrome, diabetic complications, gastric failure paralysis, severe at the insulin receptor The pharmaceutical composition according to [15], suffering from a disorder associated with an inactivating mutation, as well as one or more disorders selected from the group consisting of other metabolic disorders.
[17] The pharmaceutical composition according to [16], wherein the disorder is obesity, type 2 diabetes, dyslipidemia, or hyperglycemia.
[18] Reduced blood glucose, decreased insulin levels, decreased triglyceride levels, decreased cholesterol levels, decreased liver lipid levels, decreased liver triglyceride levels, decreased body weight, improved glucose tolerance, and improved insulin sensitivity in patients Use of a fusion protein according to any one of [1] to [13] in the manufacture of a medicament for use in achieving one or more biological activities selected from the group consisting of:
[19] The patient has obesity, type 1 and type 2 diabetes, insulin resistance, hyperinsulinemia, impaired glucose tolerance, hyperglycemia, metabolic syndrome, diabetic complications, gastric failure paralysis, severe at the insulin receptor Use according to [18], suffering from a disorder associated with an inactivating mutation, as well as one or more disorders selected from the group consisting of other metabolic disorders.
[20] The use according to [19], wherein the disorder is obesity, type 2 diabetes, dyslipidemia, or hyperglycemia.
[21] A polynucleotide encoding the fusion protein according to any one of [1] to [13].
[22] A vector comprising the polynucleotide according to [21].
[23] A host cell comprising the vector according to [22] or the polynucleotide according to [21].
[24] A method for producing a fusion protein, comprising expressing the fusion protein using the host cell according to [23].
[25] The method according to [24], further comprising purifying the fusion protein.
[26] The pharmaceutical composition according to [14] for use in a method of treating a metabolic disorder in a patient.
[27] The pharmaceutical composition according to [26], wherein the metabolic disorder is obesity, diabetes, dyslipidemia, or hyperglycemia.
[28] Use of the fusion protein according to any one of [1] to [13] in the manufacture of a medicament for use in a method of treating a metabolic disorder in a patient.
[29] The use according to [28], wherein the metabolic disorder is obesity, diabetes, dyslipidemia, or hyperglycemia.
[30] The pharmaceutical composition according to [27], wherein the metabolic disorder is type 2 diabetes.
[31] The use according to [29], wherein the metabolic disorder is type 2 diabetes.

Claims (31)

A fusion protein comprising an FGF21 variant and an Fc region, wherein the FGF variant has at least a mutation of Q55C, A109T, G148C, K150R, P158S, S195A, P199G and G202A with respect to the full-length hFGF21 sequence of SEQ ID NO: 1. Including fusion proteins . The fusion protein according to claim 1, wherein the Fc region is bound to the FGF21 variant via a linker. The fusion protein according to claim 2, wherein the linker is 1 to 20 amino acids in length. The fusion protein according to claim 2 or 3, wherein the linker comprises glycine and serine residues. The fusion protein according to any one of claims 1 to 4, wherein the FGF21 mutant is fused to the Fc region via a GS linker. The fusion protein according to any one of claims 1 to 5, wherein the Fc region of the fusion protein is a modified Fc fragment. The fusion protein according to any one of claims 1 to 6, wherein the Fc region is an Fc fragment modified with a LALA mutation. Gln55Cys, Cys103, Cys121, Gly148Cys, Asn149Cys, Ser151Cys, Pro152Cys, His153Cys, Arg154Cys, Asp155Cys, Pro156Cys, Ala157C160, Arg159C160, Arg159C160 The fusion protein according to any one of claims 1 to 7, comprising an engineered disulfide bond. And Gly148Cys, Cys103, Cys121, Arg47Cys, Tyr48Cys, Leu49Cys, Tyr50Cys, Thr51Cys, Asp52Cys, Asp53Cys, Ala54Cys, Gln55Cys, Gln56Cys, Thr57Cys, Glu58Cys, Gly160Cys, Pro161Cys, Ala162Cys, and in one cysteine residue of the Arg163Cys and Phe164Cys A fusion protein according to any one of claims 1 to 7, comprising at least one engineered disulfide bond between. 10. A fusion protein according to any one of claims 1 to 9 comprising a disulfide bond engineered between Gln55Cys and Gly148Cys. The FGF21 mutants (here, the position of the amino acids refers to the amino acid position of the full-length hFGF21 sequence of SEQ ID NO: 1) comprising a disulfide bond between C103 and C 121, any one of claims 1 to 7, one The fusion protein according to Item.


The fusion protein according to any one of claims 1 to 10, wherein the fusion protein comprises the amino acid sequence of SEQ ID NO: 10. The fusion protein according to any one of claims 1 to 10, wherein the fusion protein comprises the amino acid sequence of SEQ ID NO: 13. A pharmaceutical composition comprising the fusion protein according to any one of claims 1 to 13 and a pharmaceutically acceptable carrier. The group consisting of decreased blood glucose, decreased insulin level, decreased triglyceride level, decreased cholesterol level, decreased liver lipid level, decreased liver triglyceride level, decreased body weight, improved glucose tolerance, and improved insulin sensitivity in patients 15. A pharmaceutical composition according to claim 14 for use in achieving one or more more selected biological activities. The patients are obese, type 1 and type 2 diabetes, nonalcoholic fatty liver disease (NAFLD), nonalcoholic steatohepatitis (NASH), insulin resistance, hyperinsulinemia, impaired glucose tolerance, hyperglycemia, metabolic Suffering from one or more disorders selected from the group consisting of syndrome, diabetic complications, gastric failure paralysis, disorders associated with severe inactivating mutations in insulin receptors, and other metabolic disorders; The pharmaceutical composition according to claim 15. The pharmaceutical composition according to claim 16, wherein the disorder is obesity, type 2 diabetes, NASH, dyslipidemia or hyperglycemia. The group consisting of decreased blood glucose, decreased insulin level, decreased triglyceride level, decreased cholesterol level, decreased liver lipid level, decreased liver triglyceride level, decreased body weight, improved glucose tolerance, and improved insulin sensitivity in patients 14. Use of a fusion protein according to any one of claims 1 to 13 in the manufacture of a medicament for use in achieving one or more more selected biological activities. The patients are obese, type 1 and type 2 diabetes, nonalcoholic fatty liver disease (NAFLD), nonalcoholic steatohepatitis (NASH), insulin resistance, hyperinsulinemia, impaired glucose tolerance, hyperglycemia, metabolic Suffering from one or more disorders selected from the group consisting of syndrome, diabetic complications, gastric failure paralysis, disorders associated with severe inactivating mutations in insulin receptors, and other metabolic disorders; 19. Use according to claim 18. 20. Use according to claim 19, wherein the disorder is obesity, type 2 diabetes, NASH, dyslipidemia or hyperglycemia. A polynucleotide encoding the fusion protein according to any one of claims 1 to 13. A vector comprising the polynucleotide of claim 21. A host cell comprising the vector of claim 22 or the polynucleotide of claim 21. A method for producing a fusion protein comprising expressing the fusion protein using the host cell of claim 23. 25. The method of claim 24, further comprising purifying the fusion protein. 15. A pharmaceutical composition according to claim 14 for use in a method of treating a metabolic disorder in a patient. 27. The pharmaceutical composition according to claim 26, wherein the metabolic disorder is obesity, diabetes, NASH, dyslipidemia or hyperglycemia. Use of a fusion protein according to any one of claims 1 to 13 in the manufacture of a medicament for use in a method of treating metabolic disorders in a patient. 29. Use according to claim 28, wherein the metabolic disorder is obesity, diabetes, NASH, dyslipidemia or hyperglycemia. 28. The pharmaceutical composition according to claim 27, wherein the metabolic disorder is type 2 diabetes. 30. Use according to claim 29, wherein the metabolic disorder is type 2 diabetes.